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To place an order by mail, print out this page, fill out and mail along with your check payable to Empowerment Institute. Credit cards are only accepted on web purchases.
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name_________________________________________________
phone_________________________________________________
address________________________________________________
city_________________________state______zip______________
e-mail__________________________________________________
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Item
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cost/ea.
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qty
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total
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Low Carbon Diet
A 30 Day Program to Lose 5000 Pounds
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1 – 19 books
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$12.95
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20 – 49 books (20% discount)
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$10.36
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50 – 249 books (30% discount)
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$9.07
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250 or more books (40% discount)
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$7.77
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9% sales tax (NY State residents only)
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shipping and handling (see chart below)
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total enclosed
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Shipping and Handling Table
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$0 - $35.00 = $5.60
$35.01 - $70.00 = $10.00
$70.01 - $99.99 = $15.00
$100.00 - $149.99 = $19.00
$150.00 - $199.99 = $25.00
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$200.00 - $249.99 = $35.00
$250.00 - $299.99 = $45.00
$300.00 and over - please call
866-821-8225, ext 13 or
845-246-6290, ext 13
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Mail to: Empowerment Institute, PO Box 428, Woodstock, NY 12498, USA
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