Mail Order/Fax Form - Esteem Seminar Programs and Publications

OUR MISSION: To help develop Resiliency Character Emotional Intelligence Motivation Responsibility Respect Self-Discipline Self-Esteem in At-Risk Adolescents
PERSONAL DEVELOPMENT ORDER FORM
I would like to order the following:

PERSONAL DEVELOPMENT Preview Packet-- 75 pgs. Includes sample lessons plus additional information. (Price includes shipping.) $15.00

PERSONAL DEVELOPMENT (Group Version) 530pgs.** $495.00

PERSONAL DEVELOPMENT (Individualized Version) 452pgs.** $450.00

PERSONAL DEVELOPMENT 982 pages **
(Both Group and Individualized Versions) $795.00

TURNING THEM AROUND: Developing Motivation, Responsibility, & Self-Discipline in At-Risk Youth
302 page book. $59.95

EMPOWERING DISCIPLINE 118 page book $17.95

EMPOWERMENT POSTERS--Student Set (40 posters) $59.00

EMPOWERMENT POSTERS--Staff Set (40 posters) $59.00

EMPOWERMENT POSTERS--Combined Student & Staff Set $99.00

AUDIO CD--75 min. "Building Respect, Responsibility & Resiliency" $10.00

TAX: CA RESIDENTS: Please add sales tax.

SHIPPING: $18.00 for PERSONAL DEVELOPMENT

$7.95 for TURNING THEM AROUND

$5.00 for EMPOWERMENT POSTERS

$5.00 for EMPOWERING DISCIPLINE

$3.00 for CD

(OVERSEAS AIRMAIL: Add 10% of total. Minimum $12)

TOTAL

PURCHASE ORDERS: Accepted from schools and other major organizations. Checks or VISA, M/C, AMEX are required for all other orders. Call (888) 4 AT-RISK to place credit card orders.

** I understand that the purchase of PERSONAL DEVELOPMENT entitles me to reproduce any student worksheets or handouts for the students in my class(es), and that the curriculum binder is all I will need to teach the course.

Name:

District:

School/Organization:

Address:

City/State/Zip:

Phone Number:

NOTE: PERSONAL DEVELOPMENT is not currently accepting orders directly through the Internet. To place an order, please print this page and submit it with your order, or you may call (888) 4 AT RISK to place a credit card order or request flyers and an order form. Orders can also be faxed to (831) 659-9109.

PERSONAL DEVELOPMENT PUBLISHING
P.O. Box 203, Carmel Valley, CA 93924
Phone: (831) 659-5913 or
(888) 4 AT RISK
Fax: (831) 659-9109