Connie Komack LifeWork Enterprises: Unlikely Angel Order Form

Connie Komack
LifeWork Enterprises

COACHING • CONSULTING • TRAINING & DEVELOPMENT • SPEAKING • WRITING

Order Form

Unlikely Angel

To order:

Complete this form.*
Print out a copy of the completed form and mail it to us with a check or money order in the correct amount. (We are not yet set up to process credit card orders.) Payment is in US dollars. The order will be shipped as soon as your check has cleared.
Then click on Submit.

*If you wish to place an order that would be shipped to a country other than the United States or Canada, skip this form and contact us with your request.

Please make check payable to:

The Carolyn W. Hardy Revocable Inter Vivos Trust

Send orders and checks to:

Connie Komack
P.O. Box 371
Rockport, MA 01966

Shipping Information:

Books are shipped via the United States Postal Service, media rate.
Rates apply to shipments within the United States or to Canada only. For shipping rates to any other country, contact us.
Please allow at least two weeks for shipment.

Purchaser:

Astericks (*) indicate required fields.

Name:	*
Company:
Address:	*
City:	*
State/Province:	*
Zip/Postal Code:	*
Country:	*
Day Phone:	*
Evening Phone:	*
Fax:
Email:	*

Shipping, if different from above:

Name:
Company:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Day Phone:

Order Details:

Copy(s) of book @ $15/copy	$
Add 5% Sales Tax (.75 a copy)	$
Add $3.00 Shipping & Handling: USA/Canada, first copy	$
Add $1.50 Shipping & Handling: USA/Canada, each additional copy	$
For shipping rates to any country other than the USA or Canada, contact us.
TOTAL:	$

Thank you for your order!

Remember to print out a copy or two of the completed Order Form before selecting Submit.

Please contact us if you have any questions.

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© 2004 Connie Komack / LifeWork Enterprises™
P.O. Box 371, Rockport, MA 01966
Phone: 978-546-9660 | Fax: 978-231-0589
Email: connie@conniekomack.com
Web: www.conniekomack.com