Results thru Research
Home About Seminars Services Tapes Order Media Testimonials
 

 

Results thru Research Order Form

  1. Fill out this onscreen form(* indicates required field)
  2. hit "PRINT FORM" button at bottom to print (if PRINT FORM doesn't work, use FILE menu and PRINT)
  3. Sign your name at the bottom of the printed form
  4. Fax the printed form to 561-582-6809

NOTE: For security reasons, credit card information is NOT submitted electronically

(Please Check the Desired Box)

1 Audio CD per month for 12 months $27.95 per month (plus s&h)

RTR Gold - 4 of RTR's Best CD's $87.00 total (plus s&h)

One on One Nutritional Coaching (4 phone sessions per month) $327.00 per month with a 6 month committment

see a list of previous releases

Total:

Pick Payment Type (pick one):
VisaVisa MastercardMastercard AmExAmEx DiscoverDiscover

Office Name:
Name*:
Address*:
City*:
State*:
Zip*:
Phone*:
Fax:
Email Address*:
Card Holder Name*:
Card #*:
Exp Date*(MM-YYYY):
 

Card Holder Signature

home ] [ about ] [ seminars ] [ services ] [ CDs ] [ order ] [ media ] [ testimonials ]
© Results thru Research 866-GETTFIT (438-8348) site design by Bower Web Solutions, Inc.