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1. Click here
to order immediately "SECURE" online, 24
hours a day.
2. You can print our form and send it in by fax or mail.
3. Call us Monday - Friday toll free 1-877-348-6692 List
of extensions
Please read the Policies & Procedures prior to ordering
No personal checks are accepted. We
will accept company checks, money orders and bank
checks.
If you are ordering a share program, you can use two money
orders or split the charge on two credit cards.
Note: If you have already ordered "secure online",
this form is not needed.
Follow the instructions on the form and mail or fax to the
address listed below.
First Name:
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__________________________ |
MI: |
__________________________ |
| Last Name: |
__________________________ |
Company/Organization: |
__________________________ |
Name as you would like it to appear on your certificate(s),
if you are ordering a certification program: |
_____________________________________________________ |
| Mailing Address: |
__________________________ |
City |
__________________________ |
| State/Province: |
__________________________ |
Zip/postal code: |
__________________________ |
| Country: |
__________________________ |
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| Daytime telephone: |
(______) ____________________ |
Fax number, if available: |
(______) ____________________ |
| E-mail Address: |
__________________________@____________________________________________________ |
| How did you find us on the Internet?
(Yahoo, Exite, Info Seek, Web Crawler, etc.) |
| What was your search word(s)? |
__________________________ |
|
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| Credit card, Debit
Card, Bank Check, Money Order, U.S. funds only |
| Account Number: |
__________________________ |
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| Expiration Date: |
______/____________ |
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| CVC Code*: |
___________ |
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| Name on Card: |
__________________________ |
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| Signature |
____________________________________________________ |
*Visa and Mastercard
In the signature box on the back of your Visa you should see
a 16-digit credit card number followed by a special 3 digit
code.
This 3 digit code is your CVC.
American Express
On the front of your card next to your main credit card number
look for a 4 digit code. This 4 digit number is the Card Security
Code.
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For fast processing,
mail to:
Sports Hypnosis Application
John Spencer Ellis Enterprises, Inc.
30245 Tomas
Rancho Santa Margarita, CA 92688 USA
Make check or money order payable to:
John Spencer Ellis Enterprises, Inc.
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For the fastest service,
pay by credit card and fax your application to:
(949) 589-8216
If you have any further questions, please call:
Voice (949) 713-5319 ext. 101
Toll Free 1-877-573-6474 (1-877-JSE-6474)
International Callers (949) 713-5319
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- Complete Sports Hypnosis
Certification Program on DVD ___ $89
| Shipping
Type |
Shipping
Rates |
| U.S. FREE Shipping (within
the Continental U.S.) |
$0.00 |
| Military Addresses |
$0.00 |
| U.S. Hawaii, Alaska, Puerto
Rico |
$20.00 |
| U.S. 2-3 Day Air |
$20.00 |
| Canada Standard |
$30.00 |
| International Standard |
$50.00 (Estimated shipping
fee. Additional shipping fees may apply.) |
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