Please print this form and mail your order, along with check or money order in U.S. Funds ONLY to:

TOO LIVE NURSE PRODUCTIONS
P.O. Box 284
New Lebanon, New York 12125-0284

 

Item	Description		No.	Price	Total Price
CD	Ineffective Individual Coping (The Second Edition)			$15.95
CD	Who's Got the Keys?			$15.95
Cassette	Who's Got The Keys?			$9.95
CD	Rockin' to the Algo-Rhythms IV with Lyric Booklet			In Production	XXXXXX
	For Shipping and Handling Please Add $3.50 Priority Orders Please Add Additional $3.50	Sub Total
		NY Res. Add 8% Sales Tax
		Shipping
		Priority
		Grand Total US Funds Only
		xxxxxxxxxxxxxxxxxxxxxxx			xxxxxxxxxx

SHIPPING ADDRESS. You can use your P. O. Box number and/or street address.

Name ______________________________________________________________

Address ____________________________________________________________

City __________________________ State __________ Zip _________________

Phone _____________________________ Email Address:_________________________________

Method of Payment. Check or money order made payable to TOO LIVE NURSE PRODUCTIONS. Sorry, no C.O.D.'s. All orders must be prepaid.

Delivery. We ship all orders promptly or notify you of any delay.

Priority Orders! To have your order shipped Priority, please add $3.50 to regular shipping costs.

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© MUSE-MED, Inc. 2004.