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PRINT ORDER FORM
Print and Mail the Information below to H. Holley Humphrey.

Print out form for your record and mail order. 2-6 week delivery time.
To Pay Online go back to the PayPal "Add To Cart" link at :
Empathy Magic Training Materials
Name:

Phone:

Address:

Email:

City, State:
Zip Code:
Payment Method:
(circle one)
MasterCard VISA Check
Card Expires:
Month: Year:
Card No.:
Signature:
QTY
PRODUCT DESCRIPTION
PRICE /UNIT
TOTAL
  Practice Practice Practice
$19.95
 
  Speaking Compassion Video
$49.95
 
SHIPPING - USPS PRIORITY MAIL
SHIPPING COST
SHIPPING TOTAL
  ONE ITEM $4.00  
  TWO ITEMS $6.00  
TOTAL SHIPPING PLUS PRODUCT HERE:
 


MAIL ORDER FORM WITH FULL PAYMENT TO:
H. Holley Humphrey, EMPATHY MAGIC
233 Rogue River Hwy. #173, Grants Pass, OR USA 97527
(checks payable to H. Holley Humphrey)
Email: Holley@empathymagic.com

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