List Price $23.95

Sally will extend a $5.00 discount when ordering directly from her, making the price $ 17.95 plus $1.98 shipping and handling. The total is $19.93 which may be paid by personal check or money order and sent to:

Attn: Sally Sacks
Westford Counseling
319 Littleton Rd, Suite 108
Westford, MA. 01886.





Print clearly, fill out and mail this Order Form with check or money order

Your Name _____________________________________________________________

Physical Address ________________________________________________________

Home Tel (_____) ___________________ Work Tel (_____) ____________________

Your E-mail address: ____________________________________________________

For shipment to: [Please print clearly]

Name: _________________________________________________________________

Address: _______________________________________________________________

City: ____________________________ State: _____________ Zip: _______________

County (if in California) __________________________________________________

Number of books desired: _________ Payment Amount Enclosed: $_____________