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To order by cashier's check or money order use the print order form below.  To order by personal check, please use your bank debit card in place of a credit card during the check-out process.   Be sure to contact your debit card issuing bank to give your permission for us to charge the total amount of your purchase.


Order & Registration Form

Yes - I'm ready to begin my training as a Disability Advocate.
Please enroll me immediately and ship my exclusive training materials by priority insured mail. 
Please RUSH me the following training option:

checkbox.gif (191 bytes)   Professional Training Package:  $989.00+ $14.50 S&H.
 checkbox.gif (191 bytes)   Executive 6-pay plan:  $1794.50 + S&H down.  5 payments of $358.90
checkbox.gif (191 bytes)   Executive single payment:  $2989.00+ $28.50 S&H.
 checkbox.gif (191 bytes)   Executive Partnership Package:  $5589.00 + $28.50 S&H.
 checkbox.gif (191 bytes)   Executive Partnership Co-Pay:  $2,794.45 x 2 + $28.50 S&H. 
checkbox.gif (191 bytes)   Overnight shipping:  Add $38.50.

checkbox.gif (191 bytes)  Personal check:  Attach check to order form and fax.      checkbox.gif (191 bytes)  MO   (Make payable to Disability Associates, Inc.)

Name:      ____________________________________________
Partner:   ____________________________________________   Co-pay.
Address: _______________________________________________________
City/State/Zip: ___________________________________________________
Phone: ( ______) ___________________  E-mail:   _______________________
 Where did you see our ad? _____________________.

Please bill my:     Visa    visacard.gif (1465 bytes)         MC    masterc.jpg (2815 bytes)    Circle card type.

Card # 1 _________________________________________  
Exp Date:  ___________     CVV _______
 Partnership Co-pay  Card # 2 _________________________________________  
Exp Date:  ___________     CVV _______
Total: $:    ______________         

checkbox.gif (191 bytes)   Overnight shipping, add: $38.50.

 Signature: _________________________________________________
No signature required if ordering on-line.
 Signature: _________________________________________________
No signature required if ordering on-line.  Co-pay.

Free 14-day trial is on the Professional level course only.  Executive programs are non-refundable and are not subject to a 14-day trial.  Review our Professional training program in the comfort of your home for two full weeks.  If at any time during your 14-day trial you decide that disability advocacy is not for you, simply request a full refund, no questions asked!  The Professional trial materials are delivered electronically and there is no shipping or restocking fees.  You may upgrade your Professional program to any of our Executive packages paying only the difference in price.  Your upgrade request must be received within the 14-days trial period.  See store policy for details.  WEBT2005TX08.

      Disability Associates, Inc.
             Phone:  303-766-1111 - Fax::  303-690-9238

Copyright © 2008.  Disability Associates, Inc. All Rights Reserved.