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Mail-In Order Form

Please send this form with check or money order in US$ to:

KidAccess, Inc. 6526 Darlington Rd. Pittsburgh, PA 15217

Prices guaranteed through December 31, 2014

Quantity Item Unit Price Total
General Collection Eyecons (electronic delivery) $49.00 each
Equestrian Therapy Eyecons (electronic delivery) $19.00 each
Music Therapy Eyecons (electronic delivery) $19.00 each
“From Goals to Data and Back Again” Book + electronic delivery of practice exercises $25.00 each
Your name:
Your address:
 
Daytime phone:
Email (for electronic delivery):
Item Total
Tax (PA residents only) 7% Item Total
Postage & Handling (Book only)
US: 10% Item Total; Canada: US$17.00 Other: US$25.00
TOTAL