Rapid Psychler Online Order Form
First Name : Last Name : Email Address : Company : Address1 : Address2 : City : State/Prov : Zip/Postal Code : Country : Phone/ext.1 : Phone/ext.2 : Fax :
Credit Card Number: Expiry: (YYYYMM) Credit Card Name :
Books (Please enter the quantity of each book you would like in the box provided)
Presentation Sets (Please enter the quantity of each presentation set you'd like in the box provided) Description CD-ROM (for Power Point®) 35mm Color Slide Set Overhead Transparencies Addiction Psychiatry (15 illustrations) @ $25 ea @ $35 ea @ $45 ea Basic Science (15 illustrations) @ $25 ea @ $35 ea @ $45 ea Categories of Psych. Illness (15 illustrations) @ $25 ea @ $35 ea @ $45 ea Child Psychiatry (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Consultation-Liaison Psychiatry (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Diagnostic Principles (15 illustrations) @ $25 ea @ $35 ea @ $45 ea Ego Defenses (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Geriatric Psychiatry (15 illustrations) @ $25 ea @ $35 ea @ $45 ea Medicolegal Principles (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Mental Status Exam (15 illustrations) @ $25ea @ $35ea @ $45ea Modes of Treatment (15 illustrations) @ $25 ea @ $35 ea @ $45 ea Personality Disorders (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Psychiatric Disorders (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Psychiatric Interview (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Psychopharmacology (20 illustrations) @ $30 ea @ $40 ea @ $60 ea Psychotherapy Principles (15 illustrations) @ $25 ea @ $35ea @ $45 ea Cognitive Behavior Therapy (15 illustrations) @ $25 ea @ $35ea @ $45 ea Individual Images @ $2 ea @ $3 ea @ $3.50 ea
CD-ROM
(for Power
Point®)
35mm
Color
Slide Set
Overhead
Transparencies
You can mix and match individual images to build a custom set. Just enter the image names you want in the box provided below.
Please indicate the media type (PowerPoint Presentation on CD, 35mm Slide, or Overhead Transparency) and quantity of each that you'd like.
Greeting Cards (Enter the quantity of each set you wish to purchase in the box provided
1 unit - $2.50 2 units - $3.50 3 units - $4.50 4 units - $5.00 5 units - $5.50 6 units - $5.50 7 units - $5.50 8 units - $6.00 9 units - $6.50 10 and up - $7.00
All prices are in U.S. Dollars