Please use this form to order and pay ONLINE for any of the items offered on the StressFreeNET Web pages:


Personal / Shipping Information:

Your Name
Email Address
Street Address
City
Zip/Postal Code
State/Province
Country


Paying by VISA -- please indicate:

Card #:
Exp. Date (MMYY):
Name as it appears on card:



Please check off items you wish to order and enter number and total amount:
ITEMNO.UNIT PRICETOTAL
StressFree (tape): The Drug-Free alternativeUS$12.45
Personal Consultation (in 30 minute units)US$100.00
TOTAL payment made


At present, there is a general misconception that sending your credit card information via the Internet is imprudent. Sending your information via the Internet is in fact no more risky than giving this information to a waiter in a restaurant or to an order desk over the telephone.


- Thank You! -
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