Print out and mail (or fax) this form and payment to the address below.
Please send me the following products:
| Books: |
| _____ | A Bird's-Eye View of Life with ADD and ADHD @ 19.95 | __________ |
| _____ | Teaching Teens with ADD, ADHD, and Executive Function Deficits, 2nd ed. @ 24.95 | __________ |
| _____ | Teenagers with ADD & ADHD, 2nd edition @ 24.95 | __________ |
| Videos: |
| _____ |
Real Life ADHDI! A DVD survival guide for children and teens (DVD) @ $34.95 |
__________ |
| _____ |
Father to Father: the ADD Experience (VHS) @ $28.00 |
__________ |
| _____ |
Teen to Teen: the ADD Experience (VHS) @ $28.00 |
__________ |
| _____ |
Teen to Teen: the ADD Experience (Spanish) (VHS) @ $28.00 |
__________ |
| Poster: |
| _____ |
ADD/ADHD Iceberg poster (color 11x17) @ $6.00 |
__________ |
Shipping and handling: Add 10 % ($5.00 minimum) | __________ |
Call for FED EX 2 day delivery rates
|
| TOTAL ENCLOSED: | __________ |
Ordered by:
Name: __________________________________________________________
Organization: ____________________________________________________
Street: __________________________________________________________
City: ___________________________State: _______Zip Code: ___________
Phone #: ______________________ e-mail address: _____________________
Please autograph my book for: _________________________ (child, school, agency, doctor, etc)
To order:
Call or fax: 256-779-5203 or
Mail checks to:
Chris A. Zeigler Dendy Consulting LLC
PO Box 189
Cedar Bluff, AL 35959
|
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