Order Form

Now Accepting Visa & Mastercard

Please note:  All proceeds from the sale of software are used to help fund the clinical research and consulting activities of our Research Division.

Software

Drinker's Check-up and Follow-up Drinker's Check-up

Price $500....................

Additional Site licenses (for more than 1 PC) $100 each additional PC.......................

Shipping & handling (U.S.) $10 .................................

Shipping & handling (outside U.S.) $20 ....................

Total .........................

Behavioral Self-Control Program for Windows (BSCPWIN), Therapist's Version

Price $400....................

Additional Site licenses (for more than 1 PC) $100 each additional PC.......................

Shipping & handling (U.S.) $10 .................................

Shipping & handling (outside U.S.) $20 ....................

Total .........................

Note: If ordering from outside U.S. please email us for information about payment by electronic bank transfer.

Behavioral Self-Control Program for Windows (BSCPWIN), Single User's Version

Single User's version $25 ....................

Shipping & handling (U.S.) $10 .................................(if not delivered electronically)*

Shipping & handling (outside U.S.) $20 ....................(if not delivered electronically)*

              Total .........................        *AOL users usually cannot download the file because of a limit on file size downloads at AOL.

Motivational Interviewing Presentation for Trainers

Datafile (Power Point format) $60 ...........

Shipping & handling (sent electronically) $0 ....................

Total ....................

Videos

Motivating pregnant women to stop drinking.

        # Copies    Price for individuals         Price for organizations    Total

        _______    $49.95                             $99.95                         $________

Shipping & handling for each video (in the U.S.) $7              $________

Shipping & handling for each video (outside U.S.) $16         $________

                                                                                          $________ Grand Total

The Miller & Rollnick videos are now available. Call 505.925.2378 to order this excellent series of Motivational Interviewing training videos.

To order the software products, print this page, indicate the items you wish to order and include it with a check (sorry no P.O.s) made out to Research Division, Behavior Therapy Associates, LLP. at the address below. New Mexico residents add 6.125% tax.

Snail mail this order form, along with your check to:

Behavior Therapy Associates

9426 Indian School Rd NE Suite 1

Albuquerque, NM 87112

You can also call us at 505.345.6100 or e-mail us with your Visa or Mastercard number and the items you wish to receive

Please don't forget to give us your name, address, telephone, and e-mail address so we know where to send your order.

Name:

Address

Telephone

Fax

E-mail

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