| Item | Price | Quantity | Total |
| Learn to Know Your Inner Brat Audio CD | $7.95 | ______ | ______ |
Get Your ActS Together DVD (Includes Learn To Know Your Inner Brat Audio CD) | $19.95 | ______ | ______ |
| Brat Factor™ Software Planner | $89.95 | ______ | ______ |
Brat Factor™ T-shirt Small__ Medium__ Large__ x-Large__ | $14.95 | ______ | ______ |
Brat Factor™ T-shirt xx-Large__ xxx-Large__ | $16.95 | ______ | ______ |
| The Brat Factor™ 3x5 Cardfile System | $12.95 | ______ | ______ |
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TOTAL $_______
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Shipping and Handling
| If your order is | add |
| $.01-$24.99 | $3.94 |
| $25.00-$99.99 | $4.98 |
| $100.00-$199.99 | $5.78 |
| $200 or more | $8.14 |
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Check Total $_______
(write check to: The Brat Factor™)
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Name
| ________________________________ |
Address
| ________________________________ |
City, State, Zip
| ________________________________ |
Phone
| ________________________________ |
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| Mail to: |
The Brat Factor™
#160 13023 NE Hwy 99, Suite 7
Vancouver, WA 98686
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