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"Industrial Kit" Work-Comp Marketing Program - Order Form
Yes! I'm ready to start marketing to businesses and get them to refer me their hurt-on-the-job employees. This program really looks like the most effective method for getting work-comp patients, and I can't wait to put it to the test.  I know that I'll be getting the non-transferrable reproduction rights to this amazing video, 25 business card-sized Video CDs, and a complete marketing program with all the letters and strategies to guarantee my success!

So I would like to place my order for the "Industrial Kit" Marketing Program. I know that the price is only $967 plus $46.50 shipping and handling. And I also know that if for any reason I am not 100% satisfied, I can return this program for my money back within 45 days.

Double Yes!
  George, I am ordering within seven days, so I get an additional FREE 25 starter videos sets, plus customized labels for all the videos CDs ($184 Value).  I also get a CD-ROM containing all the marketing material (along with a manual) ($96 Value) and two VHS copies of the video program ($114 value).
Name and Title:
Clinic Name:
City, State, ZIP:
E-Mail Address:
Payment Method:
American Express
One payment of $967 (FREE Shipping if paid in full)
Please bill my credit card:
Three monthly payments of $323 ($46.50 shipping will be added to first invoice)
Credit Card #:
Exp. Date:
Where Did You Hear About Us:
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© 2000 - 2004 Chiropractic Marketing Success
716 North Ventura Road Suite 360, Oxnard, CA 93030
800-250-2655 Fax 805-293-8732