Fill out the following form to order:

First Name:      Last Name:      Phone:  

Email:  

Billing Address

Street:  

City:      State:      Zip:  

Shipping Address (If Different)

Street:  

City:      State:      Zip:  

Special Sales Code (Optional)

How many copies of Bipolar Disorder In Truth would you like?
     Price (1-3 copies): $6.00
     Price (4+ Copies): $4.50

How many copies of Into My Manic Mind would you like?
     Price (1-3 copies): $6.00
     Price (4+ Copies): $4.50

How many copies of A School of Trout would you like?
     Price (1-3 copies): $4.00
     Price (4+ Copies): $3.00

How many copies of Bipolar Disorder - 5 Steps to a More Peaceful Life would you like?
     Price (1-3 copies): $6.00
     Price (4+ Copies): $4.50

How many copies of the Bipolar Disorder - 5 Steps to a More Peaceful Life CD would you like?
     Price (1 Case): $3.00