ORDER FORM

to order books and videos
by mail or fax

1. Print this page and fax to: (760) 343-0765 (billed to your credit card)

2. Print this page and send with check, money order (U.S. funds on a U.S. Bank only), or credit card number to:
Rockford Press
P.O. Box 8
Thousand Palms, CA 92276
3. Call toll-free 1-(800) 574-2437 (to order by credit card)

Orders are shipped by priority mail and will usually arrive within 4-7 days. However, we cannot control the post office, nor their workload, so please allow 4 weeks for delivery before inquiring.

For international orders:

ALL DVDs and CDs work in ALL Countries.

Shipping costs vary according to the country. All orders are shipped by airmail. We will e-mail you the shipping an dhandling charges for your authorization before we ship your order. Please make sure you record your e-mail address on the form below.

ROCKFORD PRESS FAX ORDER FORM


Please Read Replacement Policy
PRODUCT TITLE
 QTY. COST TOTAL
Cancer Doesn't Scare Me Anymore
DVD _____
Video _____
$ 19.95
     
2-Pack Web Site SPECIAL!
Cancer Doesn't Scare Me Anymore (DVD or video)

PLUS More on Cancer (CD or audiotape).
DVD _____
Video _____
CD _____
Audio _____
$ 29.95
     
More on Cancer (If you already own Cancer Doesn't Scare Me Anymore)
CD _____
Audio _____
$ 10.00
     
You Can't Improve on God!
DVD _____
Video _____
$ 19.95
    
Diseases Don't Just Happen
DVD _____
Video _____
$ 19.95
  
Getting Started On Getting Well (workbook)
Book _____
$ 35.00
     
Sorting Throught the Maze of Alternative Medicine
DVD _____
Video _____
$ 19.95
     
Double Blind
DVD _____
Video _____
$ 19.95
    
He Love Me - He Loves Me Not
DVD _____
Video _____
$ 19.95
    
Believing is Seeing!
DVD _____
Video _____
$ 19.95
    
Drugs Never Cure Disease
DVD _____
Video _____
$ 19.95
    
Turn on the Light: Overcoming Anxiety and Depression
DVD _____
Video _____
$ 19.95
    
Conquering Confusion
(10 CD or audiotape series)
CD _____
Audio _____
$ 39.00
 
Eye See: Prevent and Reverse Eye Disease
(2 CDs or 3 audiotapes)
CD _____
Audio _____
$ 21.95
 
AIDS: What the Government Isn't Telling You (book)
Book _____
$ 17.95
 
Everything You Want to Know about AIDS but Haven't Been Told (2 video set - not available in DVD)
Video
Set		 _____
$ 29.95  
Can Mosquitoes Transmit AIDS? (booklet)
Book _____
$ 10.00
 
Other Health Books and Videos recommended by Dr. Day
1. Your Body's Many Cries for Water (book) by F. Batmanghelidj, M.D.
Book _____
$ 14.95
 
2. A Diet for All Reasons
by Michael Klaper, M.D. (Not available in PAL Int'l format)
DVD _____
Video _____
$ 22.00
 
BONUS: If you order both products immediately above numbered in red, you will receive "Finding Peace Within" for FREE. This book offers lasting solutions to the challenges of everyday stress.
FREE with your order of items #1 and #2 listed immediately above.
Check here if you would like to receive 
  
 Merchandise total
   
Shipping and handling see chart below
  
Subtotal
  
Calif. residents only: Sales tax of 7.75% on Subtotal
   
 TOTAL
   

SHIP TO INFORMATION
Name   _______________________________________________________
Street Address   _______________________________________________________
Suite #
Apt. #		   _______________________________________________________
City   _______________________________________________________
State/Province   __________________________________________
Zip/Postal Code   __________________________________________

 Country

  __________________________________________
Home Phone   _______________________________________________________
FAX   _______________________________________________________
E-mail   _______________________________________________________

BILLING INFORMATION
Credit Card
    (check one)
Mastercard     VISA
Cardholder Name    ________________________________________________________
Card Number    ________________________________________________________
Expiration Date    __________________________________________


Shipping & Handling Charges within the U.S.
*shipping costs must be included for order processing
Destination
 Shipping & Handling Charges for all of Canada
Total Cost of
Merchandise
Area
A
Area
B
Area
C
Area
D
Area
E
Area
F
Area
G
Under $25
$7.10
$7.10
$7.10
$7.10
$7.10
$7.10
$7.10
 $8.50
$25 -$34.99
$7.35
$7.50
$7.70
$7.80
$8.35
$8.60
$8.85
 $11.00
$35 -$49.99
$7.85
$8.25
$8.60
$9.05
$10.35
$11.10
$12.10
 $15.00
$50 -$74.99
$9.60
$9.90
$10.10
$10.30
$12.10
$12.60
$13.60
 $16.25
$75 -$99.99
$10.35
$10.75
$11.25
$11.55
$13.10
$14.10
$15.35
 $18.00
$100 and up
add 11%
add 11%
add 12%
add 13%
add 14%
add 15%
add 16%
 add 18%
   
Area
A in CA
Area
B in CA
States in
Area C
States in
Area D
States in
Area E
States in
Area F
States in
Area G
 All Canada
Zip codes in Calif. beginning with
900-930		 Zip codes in Calif. beginning with
931-966		 Nevada
Arizona		 Colorado
Idaho
Montana
New Mexico
Oregon
Utah
Washington
Wyoming		 Kanasa
Nebraska
N. Dakota
S. Dakota
Oklahoma
Texas		 Alabama
Arkansas
Illinois
Kentucky
Iowa
Louisiana
Minnesota
Mississippi
Misouri
Tennessee
Wisconsin
All States with any portion in the Eastern time zone PLUS
Hawaii & Alaska
 Shipping Charges by "Area" have not yet been instituted in Canada.
FOREIGN ORDERS (other than Canada). Shipping and handling charges for foreign countries vary and will be determined for each individual order. Before we ship your order, we will e-mail you your shipping and handling charges for your authorization.

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