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Curriculum Order Form
(Available for license outside of Massachusetts) Massachusetts residents click here

* denotes fields that must be filled in
 


*First Name: *Last Name:
*Address:
*City:
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*Customer Type: Profit     Non-Profit
Curriculum may also be Licensed by module or by unit.
Each module includes:
• Unit Introduction
• Facilitation Guide
• Activity Sheets in English
SELF-ESTEEM UNIT
(includes Modules SE-01 - SE-05)
Please check each module you would like to purchase:
Profit Rate:
$75 per module		 Non-Profit Rate:
$50 per module		  
$75 $50 Module SE-01 / Self Esteem Assessment
$75 $50 Module SE-02 / Affirmation Guidelines
$75 $50 Module SE-03 / Accomplishments
$75 $50 Module SE-04 / Purpose in Life
$75 $50 Module SE-05 / Career Skills
I would like to receive a 10% discount and license the entire unit:
$337.50
Profit		 $247.75
Non-Profit		  
SELF-AWARENESS UNIT
(includes Modules SA-01 - SA-05)
Please check each module you would like to purchase:
Profit Rate:
$75 per module		 Non-Profit Rate:
$50 per module		  
$75 $50 Module SA-01 / Self Concept Assessment
$75 $50 Module SA-02 / From Awareness to Positive Change
$75 $50 Module SA-03 / Response Power
$75 $50 Module SA-04 / Expressing Anger
$75 $50 Module SA-05 / Coping with Fear
I would like to receive a 10% discount and license the entire unit:
$337.50
Profit		 $247.75
Non-Profit		  
MANAGING STRESS UNIT
(includes Modules MS-01 - MS-05)
Please check each module you would like to purchase:
Profit Rate:
$75 per module		 Non-Profit Rate:
$50 per module		  
$75 $50 Module MS-01 / Techniques for Relaxation
$75 $50 Module MS-02 / Priorities
$75 $50 Module MS-03 / Balance in Life
$75 $50 Module MS-04 / Heath and Well-Being Assessment
$75 $50 Module MS-05 / Attitudes Towards Money
I would like to receive a 10% discount and license the entire unit:
$337.50
Profit		 $247.75
Non-Profit		  
SAVE 15% WHEN YOU LICENSE THE ENTIRE CURRICULUM
$956.25 For Profit for the ENTIRE CURRICULUM (1 Language) (reg price: $1,125.00)
$637.50 Non-Profit for the ENTIRE CURRICULUM (1 Language) (reg price: $750.00)
   
Payment will be accepted in the form of check or credit card. Once the form is submitted, we will call you to process your payment.
 
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