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BPS Communications Order Form

We welcome your check, but at present we cannot take credit cards. Check, money order, or authorized purchase order in U.S. funds (made out to BPS Communications) must accompany order. Print this form and mail your order to:
BPS Communications  LLC, Attn; Mary  3524 16th Ave So,    Minneapolis, MN   55407,    USA

QUESTIONS?    Call 1-800-365-4BPS (365-4277)  In Minneapolis/St.Paul  612-729-4621
        Email:   info@bpscom.com      Web Site:   www.bpscom.com  

QUANTITY          ITEM PRICE
(U.S. currency)
AMOUNT
________ SISD-DVD (Contains SISD 1,2, & 3) $ 39.95 ________
________ SISD Book  (Quantity pricing for 10+ books is available) $ 11.95 ________
________ SISD#1: Your Early Options VIDEO $ 39.95 ________
________ SISD#2: When An Acquaintance  Becomes An Assailant VIDEO $ 39.95 ________
________ SISD#3: Practical Physical Resistance VIDEO $ 39.95 ________
________ Scenarios in Self-Defense (SISD)  3 volume VIDEO set $100.00 ________
TOTAL MERCHANDISE: ________
(MN residents add 6.5%, Minneapolis residents add 7  SALES Hennepin County sales tax, add .5%)             TAX: ________
Shipping in the US & Canada:  $3.00    (for videotapes, books. or DVDs, regardless of quantity)
   International shipping:    $5.00 per videotape or DVD,    $3.00 per book                        SHIPPING/HANDLING:
________
Enclosed:  check___   money order____  P.O.#______________ Total: ________


PLEASE MAIL MY ORDER TO:

Name:_________________________________Company:___________________________________

Address:__________________________________________________________________________

City,State,ZIP:______________________________________________________________________

Country:__________________________________________________________________________

Phone (include area code) _________________________________ Daytime ____ or Evening ____

(DVD & Video previews available--for organizations only--at a small fee. Bookstores may contact us for bookstore rates. Write or Email  us with information on your organization or bookstore, including a phone number and a street address ---no P.O. boxes please).