|
Yes! I would like to claim my copy
of “Basic Principles in Orthotic Therapy and its Clinical
Application”
I understand that the information in this course will provide
a proven method on how I can help my patients achieve a better quality
of life through orthotic therapy, while at the same time expand my practice
profits many times over year after year.
I also understand
that this course has a “12 month full refund guarantee”
if for any reason I request a refund “Cybermedical Pty Ltd”
trading as “Cyberorthotics” will refund the cost of this course
to me in full.
| Name: _________________________________________________ |
| Email: _________________________________________________ |
| Company (optional):
______________________________________ |
Address: _______________________________________________
(please be sure to enter a physical mailing address,
if you enter a
P.O. box, your course will
be sent by regular post and can take up
to 2 weeks to arrive) |
| City: __________________________________________________ |
| State: _________________________________________________ |
Country: _______________________________________________
(please check your shipping costs below) |
| Post Code: ____________ |
| Phone: (___)
________ - _________ |
Please
check one of the following:
| (
) |
I
would like to order “Basic Principles in Orthotic Therapy and
its Clinical Application” with a one-time payment of $395
(Australian dollars) on CD plus postage and handling (see
below)
| Country |
Australian
dollars |
| Australia |
32.08 |
|
| (
) |
I am enclosing
a cheque or money order.( Please write the cheque out in the name
of “Cyberorthotics” and note that we do not accept a cheque
by fax, so if you are paying by cheque you must mail it in. |
| (
) |
I want to charge
my Credit Card.
***Please note if you are ordering “Basic Principles in Orthotic
Therapy and its Clinical Application” on CD there will be postage and handling charges
(see above)***
Credit
Card (check one):
 |
VISA |
 |
MasterCard |
 |
American
Express |
|
Expiry Date: _________ |
| Signature:
_________________________ |
I authorize “Cyberorthotics” to charge my credit card
$395 plus postage and handling (if applicable) to
my credit card for the purchase (and shipment) of “Basic Principles
in Orthotic Therapy and its Clinical Application” |
|