Better Life Psychology

Name: _________________________________________ Date of order: ___/___/___

Postal Address: _________________________________________________________

Suburb: _______________________________________ Postcode: _______________

Telephone: ( __ ) _______________________ Fax: ( __ ) ______________________

Email: __________________________
@_____________________________________

Organisation: _____________________________________________________
_____

Step 1: Indicate the written materials you require from the previous table
Step 2 : Calculate total cost of written and video materials

............... $ __________
Step 3: Add postage and handling costs for Australian orders at 10% of
order total or $5 (AUD minimum charge).

............... $ __________
(International orders contact Better Life Psychology for postage and handling charges)
Step 4: Attach cheque or money order for final total

............... $ __________

ORDER AUTHORISATION:

Please sign here to initiate your order:

____________________________

For prompt processing cheque/money order must accompany orders.
Please make cheques payable to ‘Better Life Psychology’.

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