PEC Publishing
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NAME: _______________________________________________________________
ADDRESS: _______________________________________________________________
CITY: _____________________________ STATE: _______ ZIP:_________________
EMAIL: _______________________________________________________________
PHONE: _______________________________________________________________
PATHWAYS TO PLEASURE ORDERS IN THE USA OR CANADA (check the appropriate box)
[_] 1 Book at $14.95 plus $5.00 Priority Mail
TICKLE YOUR FANCY ORDERS IN THE USA OR CANADA (check the appropriate box)
[_] 1 Book at $12.95 plus $5.00 Priority Mail
PATHWAYS TO PLEASURE & TICKLE YOUR FANCY ORDERS IN THE USA OR CANADA (check the appropriate box)
[_] Both Books at $22.90 $5.00 Priority Mail
VAGINISMUS BOOK AND VIDEO ORDERS IN THE USA OR CANADA (check the appropriate box)
[_] 1 Video documentary at $40.95
[_] 1 Book at $34.95
[_] A video/book combination at $67.00Prices for USA and Canada orders include shipping and handling. INTERNATIONAL ORDERS (check the appropriate box)
[_] 1 DVD documentary at $55.95 US Dollars
[_] 1 Book at $34.95 US Dollars
[_] A DVD/book combination at $80.00 US Dollars
TREATING VAGINISMUS VIDEOS ORDERS IN THE USA OR CANADA (check the appropriate box)
[_] 1 DVD at $19.95 plus $5.00 Priority Mail
International Airmail cost might be added Payment is accepted by either a credit card (VISA, MasterCard, AmericanExpress), a check or a money order, drawn on USA bank accounts only, and made out to PEC Publishing.
ALL SALES ARE FINAL
MODE OF PAYMENT (check one):
Check __ Visa __ Master Card __ American Express __
Account/card number: __________-_________-_________-__________ Expiration Date: _____ / _____
Signature: __________________________________ ALL SALES ARE FINAL
Mail or fax your order to PEC Publishing at the above address/fax number