21625 Chagrin Boulevard   |   Suite 200   |   Beachwood, Ohio 44122   |   Phone: 440-681-8353

Order Form

Please print this form, fill it out, and mail it with your check or money order to:

Ohio Center for Sport Psychology
21625 Chagrin Blvd., Suite 200,
Beachwood, OH, 44122.

How many Item Unit Price Sub-Total
________ Developing Sport Psychology Within Your Clinical Practice
PDF file on CD
$25 ________
________ Quotation Collection: The Nine Mental Skills of Successful Athletes $12 ________
________ Nine Mental Skills Assessment Kit CD $25 ________
________ Baseball Cap with logo
Black hat, white logo & lettering
$20 ________
________ Baseball Cap with logo
Khaki hat with black logo & lettering
$20 ________
Merchandise Total ________
Shipping & Handling ________
Total Due ________

Shipping and handling charges

First item . . . . $3.00
Each additional item add . . . . $1.00

Name __________________________________

 

Address _________________________________

________________________________________

________________________________________

 

Phone____________________

Email ____________________

 

You may charge your order to a VISA, Discovery, or MasterCard issued from a U.S. bank.  If you wish do do so, please provide the following information:

Circle one:    VISA    Discovery     MasterCard


Name as it appears on your card ________________________

Billing Address

 

Card Number ________________________________________

CVV Number ____________ (last three digits on back of card)


Expiration Date ______________________________________

Your signature authorizing this charge ____________________

Amount to be charged   _________________________

Charges will appear on your credit card statement as ProfessionalCharges.com

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