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| Healthy 'n Fit
Weight Management Program Order Form |
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Information |
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| Product List |
Cost |
Quantity |
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| Healthy 'n Fit Weight Management Individual
Program (CD-ROM) |
$795 |
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| Healthy 'n Fit Weight Management Individual
Program CD-ROM with Print Version - Original Cost $795 |
Add $50 |
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| Healthy
'n Fit Weight Management Program - Group Program (CD-ROM) |
$795 |
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| Healthy
'n Fit Weight Management Group Program CD-ROM with Print Version |
Add $50 |
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| BOTH Programs with CD-ROM (save 50% off the
2nd!!!) |
$1,192 |
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Both programs with CD-ROM
and print version |
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Add $100 |
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| 1
Month Email Counseling for Program Set-Up (retail value $150) |
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FREE! |
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Total Cost: |
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| Payment Method (Please Check One) |
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| Visa |
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| MasterCard |
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| American
Express |
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| Check |
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| Money
Order |
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| PayPal
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| Credit
Card Number:
____________________________________________ |
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| Expiration
Date : _________________ |
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| Card
Security Code: ______________ |
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| Cardholder
Name: ____________________________________________ |
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| Cardholder
Signature: ____________________________________________ |
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| Checks can be made out to Erin Palinski, RD. Please sent payment
via PayPal to the email address orders@dietitianresource.com. PLEASE DO NOT
SEND CASH IN THE MAIL. Items will be mailed out upon check clearance. FAX CREDIT CARD ORDERS TO (973) 858-0417 or call (973) 600-7795
to order by phone. |
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| Mail
Order to: |
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| Healthy 'n
Fit Weight Management Program |
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| Attn: Erin
Palinski, RD, LDN |
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| PO Box 122 |
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| Hamburg, NJ
07419 |
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