Ordering Information

Four easy ways to order:
  • Call us toll-free at 888-773-7465.
  • 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.
  • Fax us your order at 707-537-1010. Simply print out this order form, complete it and send it.
  • 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 ProductsPriceItems 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
Toll-Free Phone: (888) 773-7465
Fax: (707) 537-1010