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MAIL Order Form

Click here to send this report directly to your printer

Quick Instructions:

(this form will require a printer and fax machine)

  • Fill out the form below

  • Be sure to check off the items you would like to purchase

  • Remember to include your mailing address

  • Include payment / credit card information

  • Print this form ...

  • Sign the form ...

Mail signed form to:
PATHWAY SYSTEMS
3011 Jones Ferry Road
CHAPEL HILL, NC 27516


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

Accepted Credit Cards:  
VISA / Mastercard

#1 Select the item(s) you wish to order

Quantity: 

FACING PANIC: Self-Help for People with Panic Attacks...$15.00  NEW

Quantity: 

DON'T PANIC (Book)...$15.00

Quantity: 

DON'T PANIC SELF HELP KIT...$79.95

Quantity: 

DON'T PANIC KIT plus BOOK...$89.95

Quantity: 

ACHIEVING COMFORTABLE FLIGHT...$59.95

Quantity: 

STOP OBSESSING (revised edition)...$16.00

Quantity: 

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)

North Carolina Residents add 7.0% Sales Tax

TOTAL

 

#3 Enter your shipping information

#4 Enter your billing information

Full Name:

Address Line 1:

Address Line 2:

City:

State:

Zip code:

Phone number:

E-mail address:

 


Visa
Master Card

Purchase order (attach purchase order)

Check / Money Order

Credit Card #:

Exp. Date:

Year:   Month

Billing Name 

Billing Address:

Address Line 2 

Billing City:

Billing State:

Zip code:

Please read: By filling out, signing and faxing this form I authorize Pathway Systems to bill the credit card I listed above for only the items I have checked on this order form.



My signature___________________________________ Date ________________

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 (toll: 919-942-0700)

 

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