Behavioral Medicine Associates, Inc.
Ordering Compact Disc recordings
The easiest thing is to call
us at (952) 844-0619.
We will send you your copy of
your CDs as soon as we receive:
- your personal or business check;
- your VISA/MASTERCARD number &
expiration date
in the mail.
- OR: Electronic notice from our PayPal
account
that you've paid. If you want to pay through PayPal, send payment to
our email address: bmainc@qeeg.com - please include
$15.00 for each CD you want, plus $5.00 shipping and handling for 1 - 6
CDs. Just call our office at (952) 844-0619 if you've got any
questions. You can also buy with your credit card directly at that
number.
If you prefer to send your check, you can print this form, then
fill in
the blanks and mail it to us:
Name ____________________________________
Street Address
____________________________________________________________
City ____________________________________State ________________
Zip_________
MasterCard or VISA number __________________________Expiration
Date____________
Please sign here if you're using MasterCard/VISA:
______________________________
Which tapes would you like? Enter a number next to the name of the
tape(s)
you want:
- Learning to
Relax
_____ (Enter # of copies)
- Mastering Fear and Anxiety _____
(Enter
# of copies)
- Overcoming
Depression
_____ (Enter # of copies)
-
Total tapes: _____ X $15.00 each = Total for CDs: $______
-
`
Shipping: $ __5.00 (for up to 6 CDs)
-
Total Due $______
Our address
is:
Behavioral Medicine Associates, Inc.
3300 Edinborough Way, Suite 204
Edina, MN 55435
(952) 844-0619
PLEASE DO NOT E-MAIL YOUR
CREDIT
CARD DATA TO US!
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