Product Order Form
For Certified Effective Intelligence™ Licensees only

Contact Name/Title:
Contact E-mail:
Phone:
Company Name:
Address:
City:
Province/State:	Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
Postal/Zip Code:
Workshop Date:
Program Name:
Delivery Needed By:
Additional Comments:

Recommended Packages:

INTRO PACKAGES	QTY	BASIC PACKAGES	QTY	DELUXE PACKAGES	QTY
Rhodes' TIP - Paper		Rhodes' TIP - Electronic		Rhodes' TIP - Electronic
- Rhodes' TIP/Profile Card		- Rhodes' TIP/Profile Report		- Rhodes' TIP/Profile Report
- Six Frames of Mind		- Connection Card		- Six Frames of Mind
- Connection Card		- Desktop Tool Kit		- Connection Card
				- Desktop Tool Kit
Rhodes' TIP - Electronic				- E.I. Workbook
- Rhodes' TIP/Profile Report				- 7 E.I. Coaching Cards
- Six Frames of Mind
- Connection Card

Individual Items:

	QTY		QTY
Rhodes' Paper TIP/Profile card		Desktop Tool Kit
Rhodes' TIP Electronic/Profiler		E.I Workbook
Six Frames of Mind Card
Connection Card (BSR)
7 E.I. Coaching Cards

Emotional Power Program Materials Individual Items:
	QTY
BarOn EQi On-Line Survey & Emotional Power Report
Emotional Power Report *(already completed BarOn EQi survey)
Emotional Power Cards
7 Pack Power Card
Emotional Power Workbook