The Caring Helper Video Set Order Form
Return to Caring Helper      Go to Caring Helper Preview Form 

SEND TO:   [Print this page and mail with check or VISA/MC information.]

Attention:  _____________________________________________ 

Title:  _________________________________________________ 

Organization:  __________________________________________ 

Address:  _______________________________________________ 

City:  ______________________  State: _____ Zip: ________ 

Ph#: (_____) _____ - ________ Email: ____________________

 THE CARING HELPER 

QTY 

 SUBTOTAL 

Set of 6 VHS videotapes and workbook master: $245 ___ __________
California residents add ($20.21/set) sales tax

___ __________
Individual videotape: $55    
Tape#:  __________ ___ __________
Tape#:  __________ ___ __________
Tape#:  __________ ___ __________
California residents add ($4.54/tape) sales tax

___ __________
Shipping and handling $15 per set, or $5 each item, maximum $15 per order within USA. Call or Email for international.

__________
(ALL SALES ARE FINAL)    TOTAL: __________


VISA/MC:  _______-_______-_______-_______   Exp:  __________ 

Cardholder:  _______________________________________________ 

Address:  __________________________________________________
 

PREVIEW the Caring Helper by ordering a preview videotape of excerpts from the six videotapes or preview the workbook on the workbook page in PDF form. 


Mail with check (payable to Applied Vision, LLC) or VISA/MC information to: 
Applied Vision, LLC  P.O. Box 1245, San Carlos, CA 94070   Ph: 650-591-9307
www.appliedv.com   Copyright © 2008 APPLIED VISION, LLC All rights reserved.