On-Line Order Form: HealthyPlace.com Anxiety and Panic Community

The Anxieties Site

On-Line Order Form

Quick Instructions:

Fill out the form below:

Be sure to check off the items you would like to purchase
Remember to include mailing address
DO NOT include payment / credit card information on this form
Please note: we only accept Mastercard and Visa credit cards
Hit "submit order"

Then call your payment information toll-free into 1-800-394-2299 (or toll: 919-942-0700) (you will need your credit card number, card type, card expiration date and full name as it appears on this form)

Using this form will speed your order and ensure mailing to proper address

3 Easy Steps !

#1 select the items you wish to order

FACING PANIC: Self-Help for People with Panic Attacks...$15.00 NEW
DON'T PANIC (Book)...$15.00
DON'T PANIC SELF HELP KIT...$79.95
DON'T PANIC KIT plus BOOK...$89.95
ACHIEVING COMFORTABLE FLIGHT...$59.95
STOP OBSESSING...$13.95
STOP OBSESSING AUDIO TAPE SERIES...$24.95

#2 determine the amount to be billed

SUB-TOTAL

Shipping ($5.75 for 1st item, $.85 each additional, in USA; Canada is $5 first item, $1 each additional-US funds)

North Carolina Residents add 7% Sales Tax

TOTAL

#3 Enter your mailing information

Full Name
Address Line 1
Address Line 2
City
State
Zipcode
Phone Number
E-mail Address

Please read:
By filling out and submitting this order form and calling in my billing information to 1-800-394-2299 (or 919-942-0700), I authorize Pathway Systems to bill my credit card for only the items I have checked above.

Or call this toll-free number for a free brochure on these
Self-help resources available from Pathway Systems and Anxieties.com
800-394-2299 (or 919-942-0700)

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