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The
Mission of Chiropractic Video
On The Path... A Chiropractic Life Book by Dr. Stew Bittman
Print and Fax this order form to: 1 310 301-4438
You can also reach us by mail at:
Planet
Chiropractic
2509 Ocean Ave., Venice, CA 90291
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Quantity of
"Mission
of Chiropractic"
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___________
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@
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$75.00 per
video
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PAL ___ (for
international vhs)
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Quantity of
"On
The Path"
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___________
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@
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$25.00 per
book
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Shipping
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______$6.00
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(US)
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Shipping
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______$9.00
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(Canada
& International)
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Total Due
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___________
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(all
prices in US funds)
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*
We accept checks drawn on US banks and International Postal Money
Orders in US dollars.
Please allow 3-6 days for US delivery and 7-14 days for
International orders.
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Ship to:
_____________________________________
_____________________________________
_____________________________________
Phone: ______________________________
Bill to:
_____________________________________
(if different from shipping)
_____________________________________
_____________________________________
Phone: ______________________________
VISA _____
MasterCard ______ AMEX _____ DISCOVER ______
Credit Card #____________________________________ Expire Date
__________
Signature
_________________________
Today's Date ___________
Check
Enclosed __________
(Please make checks payable to:
Planet Chiropractic)
Your email address _________________________ (Important
- we send receipts via email)
Thank You For Your Order!
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