Vitamin C for Couples Order Form

Yes, I would like purchase Vitamin C for Couples
and / or DiSC® Relationship Profile

Please complete the form boxes below and click the "order" button.
Or if you would prefer to print the form and fax your order to us, our fax number is (613) 727- 4829
If you would prefer to order by phone, call us at (613) 762 - 5210


Your Name:
Street Address:
City:
Province/State
Postal/Zip Code:
Telephone:
Fax:
Email:	We will contact you via email to confirm your order and preferred method of payment. Please replace this "guest" email address with yours (if you have one).
	Number of Copies
Vitamin C for Couples - $15. cdn
DiSC® Relationship Profile - $20. Cdn
Personal Contract 2 for $5. Cdn
	Note: Please add $3.50 Cdn per item for Shipping and Handling to a maximum of $7.00 Cdn. Canadian Residents please add 7% GST.
Order Total
We would enjoy receiving any comments you may have about our program(s) and/or web site. If you would like to, please enter your comments here.

< Click here to send us your order