La Doris "Sam" Heinly
3419 Via Lido #354
Newport Beach, CA 92663
USA

Print form and mail with check payable to:

La Doris Heinly

Book Order Form

Name (print or type): ________________________________________________________________________________

Mailing Address: ___________________________________________________________________________________

__________________________________________________________________________________________________

City __________________________State_____________Postal Code__________________Country____________________

Email: ____________________________________________________________________________________________________________

# of Copies Book  Cost ($US)  Total
  Alzheimer's Art Speaks - includes Training manual US$59.95 + Tax  
  Alzheimer's Art Speaks - Quantity Discount deduct 10% for orders of 25 or more  

                                                                                                                                                                                             Subtotal ______________

                                                                                                                              California State residents add 7.75% sales tax     +   ____________

POSTAGE/SHIPPING

Within USA–UPS ($7.95 for first book. Each additional book $1.00 up to 10 books. Over 10, email for quote) (7 business days)     + _____________

International–SURFACE ($10.00 for first book. Each additional book $7.00 up to 5 books. Over 5, email for quote) (8-10 weeks)   + _____________

International-AIRMAIL ($20.00 for first book. Each additional book $10.00 up to 5 books. Over 5, email for quote) (3-6 weeks)      + _____________

Method of Payment (All orders must be prepaid)                                                          TOTAL ________________

______ $check/$ bank draft enclosed, payable to: La Doris Heinly

Send order 
and payment to:
La Doris "Sam" Heinly
3419 Via Lido #354
Newport Beach, CA 92663
 
Email: sheinly@alzheimersartspeaks.com

www.alzheimersartspeaks.com

 

 

Updated November 1, 2004