There are four ways to purchase this program
1 Complete the online order.
2 Print out and complete the order form below. Fax it with your credit card information to (907) 248-9962.

3 Print out and complete the order form below. Send it with your check to Dr. Ron Ohlson 5153 West 80th Avenue Anchorage, AK 99502-4114

4 E-mail Dr. Ohlson at DoctorRon@gci.net. Leave your name, spelling the last name, and your phone number with area code. Someone from Dr. Ohlson's office will return your call as soon as possible and take your order.
 
 
1.
Item to be Purchased


Fear of flying 
  
Yes, I want 1 copy @ $29.95 (CD)
 
Yes, I want 1 copy @ $29.95 (Cassette)
Fear of selling  
Yes, I want 1 copy @ $29.95
Fear of speaking  
Yes, I want 1 copy @ $29.95
Quit smoking 
  
Yes, I want 1 copy @ $29.95
Lose weight 
  
Yes, I want 1 copy @ $29.95
(Follow-up Coaching $140 per session)
NOTE: A $5 shipping and handling charge will be placed on each item ordered.
Name and Address as it appears on card
(Bolded areas must be filled out)


Your Name:  
Address:  
City:  State:  
Postal/Zip Code:  
Country:  
E-mail Address:  
Phone Number:  
2.
 
Shipping info
(if different from above)


Your Name:  
Address:  
City:  State:  
Postal/Zip Code:  
Country:  
E-mail Address:  
Phone Number:  
Secure Payment Info
All information is fully encrypted and safe.


Credit Card Type:
Mastercard   Visa    
Card Number:    
Expiration Date:
3.
 


Click to finish