Live Class Audio CD Order
Form
Would you like a copy of tonight’s class or to hear a class you missed?
You can attend a class from the privacy of your home,
on your way to work or traveling in your car.
Your spouse can now work with you on your parenting plan even though he is not able to attend.
Please complete this form
You can order one or all of the titles named below
Enclose
a check or money order
Make
payment to:
Thomas Palermo
1606B Union Valley Road
West Milford, NJ 07480
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Please circle those CDs you would like.
Name:(please print)_____________________________________________________________
Address:______________________________________________________________________
City:_______________________ State:____________ Zip:__________________________
Phone: ( )__________-______________________
E-Mail:(please print)____________________________________________________________
# of CDs:_______ X $10.00 each = _______ + 6% tax(60c per CD) _______ = Total Price:___________
Please allow 2 weeks for delivery. Shipping is on us.
If you have any questions please contact us at: (973) 853-5500 or parenting@PositiveParenting.tv