Please print the following form, fill in the information to place an order, and mail completed form to: Spirit and Associates Book Orders 440 Marsh Run Road New Cumberland, PA 17070

Small Quantity Orders:    Price Quantity Requested    Amount RELAPSE/RECOVERY COURT GUIDE AND WORKBOOK $25.00 1  $_______ RELAPSE / RECOVERY COURT GUIDE AND WORKBOOK $50.00 2  $_______ Add 6% sales tax - Pa. only    Tax  $_______ Add Shipping, handling and Insurance Total for up to 2 workbooks    Shipping, etc. $___5.00 Total Amount Due    Total Due $_______ Bulk Orders:   Price Quantity Requested   Amount RELAPSE/RECOVERY COURT GUIDE AND WORKBOOK   3-24@$25.00 ea  $_______ " " " " " 25-49@$23.00 ea  $_______ " " " " " 50-99@$21.00 ea  $_______ " " " " "   100 @$19.00 ea  $_______ Add 6% sales tax - Pa. only   Tax  $_______ Amount Due before Shipping Handling and Insurance:   Sub-Total  $_______ Shipping, Handling and Insurance will be added based on quantity ordered and delivery destination (Please call - 866-901-9992 Toll Free - for shipping, handling and Insurance amounts for bulk orders)    Shipping, etc  $_______ Total Amount Due    Total Due  $_______

Delivery Information: Name: Company: Address:            City: State: Zip Code: Country:  Phone: Fax: Email:

Credit Card Billing Information: Please check one: Master Card Visa Book Order Date: Card Number: Exp Date: (MM/YY) Cardholder Name: Street Address: City: State:    Zip Code: Country:

Check/Money Order Billing Information: Please check one: Business Check Personal Check Certified Check Money Order Book Order Date: Ck or M.O. Number: Account Holder's Name: Street Address: City: State: Zip Code: Country: Please sign check and enclose with order form.