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 (760) 343-0965 between 9:00 am and 4:00 pm Monday - Thursday and 9:00 am to 2:00 pm Fridays (Pacific Time)

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
Save $55!
Dr. Day's Super Starter Package

Package includes
(click here)


Shipping & Handling included in price
_____ U.S.
$160.00
_____ Canada
$180.00
_____ Int'l
$200.00
_____________
_____________
_____________

What Does it Take to Get Well?
Book _____
$ 12.95
    
I Will Give You Back Your Health Again
Book _____
$ 17.95
    
Cancer Doesn't Scare Me Anymore
DVD _____
$ 19.95
    
2-Pack Web Site SPECIAL!
Cancer Doesn't Scare Me Anymore (DVD)
PLUS More on Cancer (CD)
DVD _____
CD _____
$ 29.95
    
More on Cancer (If you already own Cancer Doesn't Scare Me Anymore)
CD _____
$ 10.00
    
You Can't Improve on God!
DVD _____
$ 19.95
    
Getting Started On Getting Well (workbook)
Book _____
$ 35.00
    
Diseases Don't Just Happen
DVD _____
$ 19.95
 
Stress Success - Overcoming Stress in a Stressful World (5 CD Set)
(5) CDs _____
$ 31.95
    
Drugs NEVER Cure Disease
DVD _____
$ 19.95
    
Double Blind: What Science Can't See
DVD _____
$ 19.95
    
He Loves Me - He Loves Me Not
DVD _____
$ 19.95
    
Sorting Through the MAZE of Alternative Medicine
DVD _____
$ 19.95
    
Turn on the Light: Overcoming Anxiety and Depression
DVD _____
$ 19.95
    
Believing is Seeing!
DVD _____
$ 19.95
    
Who Rewrote the Bible?
Book _____
$ 38.00
 
Conquering Confusion
(NO CD. Available in audiotapes only.)
Audio _____
$ 39.00
    
Eye See: Prevent and Reverse Eye Disease
(2 CDs or 3 audiotapes)
CD _____
Audio _____
$ 21.95
 
Who Wants Homosexuals Dead? (book)
Book _____
$ 12.95
 
Can Mosquitoes Transmit AIDS? (booklet)
Book _____
$ 10.00
 
My Utmost for His Highest
Book _____
$ 9.00
 
The Coming New World Order
Book _____
$ 15.00
 
The Man of Galilee
Book _____
$ 15.00
 
Other Health Videos recommended by Dr. Day
A Diet for All Reasons
by Michael Klaper, M.D.
(available in DVD format only)
DVD _____
$ 22.00
 
    
 Merchandise total
  
Shipping and handling see chart below
 
Subtotal
 
Calif. residents only: Sales tax of 8.75% 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 ___________ Security Code ____________




Shipping & Handling Charges within the U.S.
*shipping costs must be included for order processing
Destination
Total Cost of
Merchandise
Area
A
Area
B
Area
C
Area
D
Area
E
Area
F
Area
G
Under $25
$7.50
$7.50
$7.50
$7.50
$7.50
$8.00
$8.50
$25 -$34.99
$7.75
$7.90
$8.50
$9.50
$9.90
$10.40
$10.90
$35 -$49.99
$9.00
$10.00
$10.50
$11.50
$12.30
$13.40
$14.90
$50 -$74.99
$9.90
$10.50
$11.00
$11.70
$12.80
$14.20
$15.30
$75 -$99.99
$10.75
$11.00
$12.00
$14.70
$15.50
$16.90
$19.20
$100 and up
add 11%
add 11%
add 12%
add 14%
add 15%
add 16%
add 19%
   
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
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
INTERNATIONAL ORDERS. 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.



Return to top of Order Form | Back Home