Order Form
Please print this form, fill it out, and mail it with your check or money order to:
Ohio Center for Sport Psychology
21825 Chagrin Blvd., Suite 310,
Beachwood, Ohio 44122.
| How many | Item | Unit Price | Sub-Total |
| ________ |
Developing Sport Psychology Within Your Clinical Practice PDF file on CD |
$25 | ________ |
| ________ | Nine Mental Skills Assessment Kit CD | $25 | ________ |
| Merchandise Total | ________ |
| Shipping & Handling | ________ |
| Total Due | ________ |
Shipping and handling charges
First item . . . . $3.00
Each additional item add . . . . $1.00
Name __________________________________
Address _________________________________
________________________________________
________________________________________
Phone____________________
Email ____________________
You may charge your order to a VISA, Discovery, or MasterCard issued from a U.S. bank. If you wish do do so, please provide the following information:
Circle one: VISA Discovery MasterCard
Name as it appears on your card ________________________
Billing Address
Card Number ________________________________________
CVV Number ____________ (last three digits on back of card)
Expiration Date ______________________________________
Your signature authorizing this charge ____________________
Amount to be charged _________________________
Charges will appear on your credit card statement as ProfessionalCharges.com