New DVD Available!



Moving through Conflict:  An Introduction to Mediation
with Teresa V. Carey



Just $25 each
(add 8.25% California sales tax if ordering from or shipping to a California address)
plus shipping and handling
($10 per order for 1-3 DVDs, $15 per order for 4-9 DVDs;
for discounted rate, call if ordering 10 or more)

To order the DVD, simply print out this form
and either mail it with payment to the address below
or fax it in with the necessary credit card information.

Name
Company/Organization
Address

Additional Contact Information (any you think will be useful if we need to contact you)

Work Tel		Home Tel
Work Fax		Home Fax
Cell Phone		E-mail

Payment Options

____	I am paying by CHECK (made payable to "Educational Communicatons" and mailed to Professional Mediation Associates, 700 Larkspur Landing Circle, Suite 199, Larkspur, CA  94939).
____	I am paying by CREDIT CARD.  My ____ Visa ____ MasterCard number is ________________________________, and the expiration date is __________.
____	If the name and address shown above do not match what is shown on my credit card billings, the name/address associated with my credit card is/are: _____________________________________________________________________________
____	My authorization signature:  x__________________________________________________

  

 Mail or fax completed form, with payment, to:

Professional Mediation Associates
      

700 Larkspur Landing Circle, Suite 199

Larkspur, CA 94939

(415) 454-4478 (tel)

(415) 464-0508 (fax)

t.carey@ix.netcom.com