Doctor's Wealth Protection Order Form

(please print and complete)
Title
Regular Price


Member Price
Qty.
 Total
The Doctor's Wealth Protection Guide
$89.95
$30
The Doctor's Wealth Protection Program
$30
$25
Risk Management for the Practicing Physician (CME)
$60
$50
Complete Kit (Guide, Program and CME)
$179.95
$90
Payment Options
Sub-Total
Payment Enclosed. (Make checks payable to: Guardian Publishing.)
Shipping/Handling Charge
$5.00

Charge my:

Visa Mastercard American Express Discover

 
Total
Account#
      
Expiration Date:
Please Note
Name of Cardholder:
 To receive discount prices this Order Form must accompany your order or call Member Services (800) 221-2168 ext. 5.

Be sure to have your Order Form in hand with your credit card when you call.
Telephone: ()
Signature:
Ship to:
Mr./Mrs.:
Association:
Adress:
City/State/Zip:
Telephone:() Fax: ()
Signature:

Please complete entire Order Form and mail with payment to:

Association Services
350 Fairway Drive Suite 200
Deerfield Beach FL 33441-1834

Fax Order Form to (954) 571-8582.