LAWRENCE F. ANDREWS FOUNDATION

PRODUCTS ORDER FORM

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DATE

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NAME (please print)

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ADDRESS                                                           CITY                             STATE

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ZIP (POSTAL) CODE            COUNTRY                     E-MAIL ADDRESS

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TELEPHONE NUMBER                                             FAX NUMBER

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                                               ACCOUNT NUMBER                               EXPIRATION DATE

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Item Price Quantity Ordered Amount Ordered
Diagnostic Template $ 30.00    
10-Hour Force Theory - PLAQUE $ 85.00    
10-Hour Force Theory - LAMINATE $ 25.00    

Please MAIL or FAX your order to:
The Lawrence F. Andrews Foundation
2025 Chatsworth Blvd.
San Diego, CA 92107
Tele. (800) 799-8952 (US only),
(619) 224-0866 - Fax (619) 224-6979

Prices subject to change without notice. All prices are F.O.B. shipping point. Shipping and Handling charges, and sales tax (if applicable)
will be added to your invoice. Orders are accepted on the basis of payment within 30 days of shipment from our San Diego office. An
invoice will be enclosed for payment. An outstanding balance not paid within 30 days will be subject to a finance charge of 1.5 percent per
month. Payment may be made by check, Visa, MasterCard or Wire Transfer. All payments are made to our US office, in US funds on a
US bank. We reserve the right to upgrade the quality and design of the products we sell. All returns must be made within 90 days of original
shipment. Returned items must be unused and in resalable condition. returns are subject to a 30% restocking fee. Returns must be shipped
insured and prepaid to: GEO, 2025 Chatsworth Blvd., San Diego, CA 92107, USA.