Panic Attacks CD Cheque/Check Order Form

Panic Prevention Program
Cheque/Check Order Form (Please print the form first and then fill it out.)

YES, I want the Panic Prevention Program on CD (please circle one)

Please find enclosed my personal check, certified check or money order, for UK £18.95, made out to the order of "Uncommon Knowledge LLP".

Checks must be in Pounds Sterling. If you are sending a money order, please specify an International postal money order if you are from outside of the UK.

Please note: Your Program will be sent to you after your cheque has cleared our bank account. This may take up to 3 working days.

First Name

Last Name

Address

City

Country

Postal/Zip Code

E-mail address

Phone


Area code	Local phone number

I understand that you will mail my Program to me when you receive this order.

I understand that I am completely protected by your 90-day money-back guarantee.

Mail this form to with your payment to:
Uncommon Knowledge LLP
Queens Building
8 George St, Oban, Argyll
Scotland, UK,
PA34 5SB

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