To order Online using Credit Cards go Here!

Mail Order Form

CHECKS OR MONEY ORDERS:

  • Fill out the Form to calculate your cost.
  • Print the Form using the form's "Print" button.
  • Mail the Form and Payment to:

Fran M. Palumbo, LLC
2226 Black Rock Turnpike, Suite 208
Fairfield, CT 06825
Must be completed
Product
Qty
Unit Price
Total Price
 

SubTotal:

 

Shipping:

Add 6% sales tax if you live in, or are having the product shipped to

CT Sales Tax:

Grand Total:


Must be completed, * indicates required fields.
SEND ME

* Name:

Company:

* Address1:

Address2:

* City, State, Zip:

Country:

Day Phone:

Evening Phone:

* E Mail address:

Comments

Optional
SEND AS A GIFT TO:

Name:

Company:

Address1:

Address2:

City, State, Zip:

Country:



(Should an error message occur clicking the "Print Order Form" button, use the print button of your browser)


| Home | Hypnosis | Meditation | Stress Management | Workshops| Products | About Fran | Contact Us |


© Copyright 2000 by Overcomestress.com. All rights reserved