PRINTABLE ORDER FORM

True Stories of Triumph over Neurological Dysfunction

Order via:
Phone (206) 204-6000
            8:30 to 5:00 PST
Fax     (206) 860-3505
Mail    The HANDLE Institute
           1300 Dexter Ave. N.
           110 The Casey Family Bldg.
           Seattle, WA 98109

Price:   

$12.95 US
$15.95 Canada

Quantity:

  Total price:

Shipping and handling:
Within USA & Canada: $4.00 1st copy plus
 $1.50 each additional copy;
Outside USA & Canada: $12.00 1st copy plus 
$4.00 each additional copy

Subtotal:

WA Sate residents add 8.8% tax:

Total:

Address:

Ship to:

Address

Address

City, State Zip

City, State Zip

Phone  E-mail

Phone  E-mail

Method of Payment:

Check enclosed

Discover

Credit Card #   Exp. date

Visa

Name on Card

MasterCard

Signature

American Express