|
Breakthrough Recruiting Intelligence Report TM Subscription Registration Page
Note: Print this page and complete the information below ONLY if
- paying by check,
- faxing the form with credit card information, or
- mailing with school Purchase Order and payment.
|
| Name | |
| Coaching Title | |
| School | |
| School Address | |
| City, State, Zip | |
| Office Phone | |
| Home Phone | |
| Email Address | |
Note: All demographic information will be gathered at Check-out after
you click the button below.
| One year [12 issues: January - December 2010] |
$29.95 |
 |
Credit Card Payment
| Card Type | |
| Card Number | |
| Expiration Date | |
Payment by Check
Make all checks payable to Peak Performance Consultants.
Mail form and check to:
Peak Performance Consultants, 14728 Shirley Street, Omaha, NE 68144
Upon receipt of payment, your personal member code to enter the website will be emailed to you.
Phone Subscription with Credit Card Call Dr. Steve Brennan at 800-293-1676. Upon receipt of payment, your personal member code to enter the website will be emailed to you.
Fax Subscription Copy and complete the above form, include your credit card information, and fax to 402-334-4437. Upon receipt of payment, your personal member code to enter the website will be emailed to you.
Purchase Orders Copy and complete the above form, and send with Purchase Order form. Payment must accompany all purchase orders. No exceptions. Upon receipt of payment, your personal member code to enter the website will be emailed to you.
|