Order Mindex Review Package

Order Mindex Review Package
The Mindex Review Package is for prospective Mindex users who want to learn more about the Mindex Thinking Style Profile, and the certification process. Orders are limited to one per customer. We'll ship your Review Package within 5 business days.
(*) Company
(*) Address
(*) City & State/Province
(*) Zip/Postal Code
(*) Country
(*) Last Name
(*) First Name
(*) Title/Department
Telephone
Fax
(*) Email
Tell Us About Yourself (One Paragraph)	Please tell us how you first learned about Mindex: Word-of-mouth referral Internet search Prior purchases Prior contact/discussions Advertising Other:
(*) Please check the "Agree" button if you agree to abide by the standards for ethical use of Mindex products: Agree Do Not Agree
Please confirm your selection and credit card payment below:
Product:	Qty:	x Price (ea.):	Total:
		USD $35.00
		Add Calif Tax? (7.75%)
		Add shipping/handling	$10.00
		Grand Total:
Method of Payment:
Visa MasterCard AmEx Check Bank Wire
Name (Exactly as on Card)
Billing Address (Exactly as on Card Account)
Card Number
Authorization Code	(3 or 4 digits, required)
Exp. Date (mm/yy)
Payment required with order. We ship after payments clear our bank. Contact us for check payment or bank-wire procedures. NOTE: we do not store your credit card number on our server.