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A unique parenting program developing:

» Values
» Virtues
» Respect
» Integrity
» Direction
» Motivation
» Confidence
» Self-control
» Self-discipline
» Empowerment
» Responsibility
» Accountability

Friends and Family Order Form

If you would like to Fax, Email or Mail your Friends and Family Order, 
click here to use our Adobe Acrobat fillable form.
 
Or, please fill out the form below to submit your order electronically.

    

Customer Shipping Info

Name:

Address:

City:   State:  Zip:

Phone Number:

Email: (if you would like a UPS tracking number emailed to you)

    

Method of Payment

Credit Card:

Name on Card:

Card Number:

Expiration Date:   Security Code: 

Billing Address:

    

ITEM

PRODUCT

QUANTITY

RETAIL

GROUP PRICE

TOTAL

673741

AK Kit

 

$29.98

$20.00

$

685584

AK Book

 

$16.98

$10.00

$

711481

Family Forum Board

 

$15.00

$10.00

$

502553

Mini Board

 

$5.00

$5.00

$

832582

Name Engraving

 

$9.00

$9.00

$

Date Cards

 

$1.99

$1.99

$

Blank Cards

 

$1.99

$1.99

$

Order Subtotal

$

 

 

 

 

Hostess Discount

-$50.00

 

 

 

 

Shipping/Handling

$26.50

 

 

 

 

Order Total

$

 

 

 

 

Sales Tax
(11.725% if within AZ.)

$
$
 

Please list out all names to be engraved on the AK Kits.

Please list out all names to be engraved on the Family Forum Boards.

Do you want to add a product from our website that isn't listed? Just list the product, price and quantity of the product you want and we can add it to your order. Any product listed on our website can be added to the Friends and Family order at the online price.

Additional Products:

Tax Information: Please add 11.725% tax to all orders shipped within Arizona.


 

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