Order Form

Just mail, phone or fax your order with full payment (or purchase order)

  • By Mail: 1) print this form. 2) fill it out completely. 3) Mail it to: Succeed Communications, RR#3     Bright, Ontario, Canada NOJ-1B0.
  • By Fax: 1) print this form. 2) fill it out completely. 3) Fax it to: (519) 632-8800.
  • By Phone: Call us toll free 1-800-801-7264 (Canada/US). International calls (519) 632-9900

    • Your Name
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    Ship to address:
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    Method of Payment
    Visa Cheque Enclosed Send Invoice

    QuantityItem No.Title of ItemUnit PriceTotal
    101Succeed Without Burnout - Book 15.95
    102Achieving Life Balance - Audio (6 tapes) 59.95
    103Succeed Without Burnout - Audio 14.95
    104Five F Words That Will Energize Your Life16.95
    Sub Total
    Shipping & Handling (see chart below)
    Add 7% GST (Canada Only)
    Add 8% PST (Ontario Only)
    Expedited Shipping Option (see chart below)
    Total Enclosed
    Note: Orders outside Canada are Payable in US Funds
    Please allow 2 to 4 weeks for normal delivery
    Orders outside Canada & USA are subject to an additional shipping charge

    Shipping & Handling Charges

    Expedited Shipping Shipping Option

    Up to $20 = $4UPS Std. to US & Canada 4-5 days, $12.00
    $21-40 = $5
    $41- 60 = $6
    $61-80=$7
    $81-100 =$8
    Over $100=$9
    Comments

    For more information about Ben’s keynotes, seminars, and products:
    Contact: Success Communications Inc.
    RR # 3, Bright, Ontario, Canada N0J 1B0
    Call: 1-800-801-7264 Fax: (519) 632-8800
    Email: ben@kubassek.com