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Ordering Information
Two easy ways to order:
- Email us a list of the products and services you want to info@drinklinkmoderation.com. Then you'll receive a Paypal invoice from us which you will pay directly to Paypal to insure a secure transaction.
- Send this completed order form to
Drink/Link, P.O. Box 5441, Santa Rosa, CA 95402 USA.
Please allow two weeks for delivery. All information is strictly confidential and all sales are final. Please print.
Customer Information:
First Name_____________________Last Name________________________
Address_______________________________________________________
City_______________________ State___________________Zip_________
Country_______________________________________________________
Email_________________________________________________________
Phone________________________________________________________
Ship to Address:
First Name_____________________Last Name________________________
Address_______________________________________________________
City________________________State___________________Zip_________
Country_______________________________________________________
Email_________________________________________________________
Phone________________________________________________________
| Drink/Link Products | Price | Items Ordered |
| The Sensible Drinking System | $79.99 | ___________ |
| The Self-Study Program | $195 | ___________ |
| The Phone Counseling Program | $695 | ___________ |
| Moderation Supplements | $69.95 | ___________ |
| 50-minute Phone Consultations | $150 | ___________ |
| 7 Weeks to Safe Social Drinking | $29.95 | ___________ |
| Take Control of Your Drinking - Now | $29.95 | ___________ |
| | |
| Order Subtotal | ___________ |
| 8.25% tax for California Residents |
___________ |
| Shipping & Handling in U.S. - $ 4.95 Up |
___________ |
| Order Total | ___________ |
Credit Cards
We accept Visa, Mastercard, American Express and Discover. Please indicate card type
______Visa ______Mastercard ______American Express ______Discover
Card Number______________________________________________________
Expiration Date_______________Authorized Signature_____________________
Disclaimer
Drink/Link Moderation Programs, Products & Services are not recommended for the alcoholic, anyone who has a physical or psychological condition aggravated by alcohol consumption, anyone suffering from serious physical, psychological, social, legal, financial or job-related problems as a result of alcohol consumption, any woman who is pregnant or thinking of becoming pregnant, any minor, or anyone who has successfully abstained. Results vary according to the individual.
Email:info@drinklinkmoderation.com
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