_____ Please Rush "Explode your Practice" along with "The Best of the Best" to:
Name _____________________________________ Tele: ( ____ ) __________
Address: ________________________________________________________
City: ______________________________ State: ________ Zip: __________
Email: _______________ @ _______________
Enclosed is payment of $189.00 + $7.00 shipping & handling for a total of $196.00
Ohio residents please add 5.75% for Ohio State sales tax for a total of $206.87
____ Visa / M-C #: ____________________________ Exp. Date __________
____ Check #: ______________________________