Benefits Training

  and Consulting            Publication Orders


 BLOCK and PRINT this ORDER FORM

 

                               Publication Order Form

 

Quantity    Stock#                                  Description                                                    Price*

_______   #16401     The Guide: Social Security Benefits                                            $52.00

_______   #16402     SPECIAL - Two copies of The Guide                                           $94.00

_______   #16403     Managing Your SSDI Benefit and Income Handbook              $11.00

_______   #16404     Managing Your SSI Benefit and Income Handbook                $12.00

_______   #16405     Four Handbooks,   two #16403 and two #16404                          $38.00

_______   #13406     SPECIAL - 4 copies each, 16401, 16403, and 16404               $240.00

 

 (There is a $5.00 Shipping Charge for the entire order - regardless of the size of the order.)

 

NAME: _____________________________ TITLE: _____________________________

AGENCY: _______________________________________________________________

STREET ADDRESS: ______________________________________________________

CITY: ____________________________ STATE: _______ ZIP CODE: _____________

TELEPHONE: (_____) __________________ FAX: (____) _______________________

E-MAIL: _______________________________________________  [to confirm shipment]

 

Complete this section for credit card payment.  (Visa, Master Card, American Express).

    Credit card information will also be accepted by phone contact.

          

            Card Number:   __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

            Expiration Date: ____/____    Type of card: __ Visa  __ Mastercard  __ Am Express

            Card Security Code: ______   Zip Code on Credit Card Statement: ______________ 

            Signature: ________________________________________________________

 

Orders will not be shipped until payment is received.   We do not accept Purchase Orders.

 

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Four ways to order:

1.         Scan and email this form to wallinginc@aol.com     

If you send it by encrypted email, the subject line must say "Publication order.".

 

 2.   Order online at http://benefits-training.com/publications.htm

PayPal is used to process credit card payments and to protect your credit card information.

A PayPal account is not required, select “use major credit card” at the payment screen.

As the merchant, we do not see your credit card information.

 

 3.   Mail order form and payment to:    Benefits Training and Consulting

                                                                    P.O. Box 1483, Chadds Ford, PA 19317

 

 4.   Fax To:   (610) 388-2379   This is a secure fax machine.

            Check to confirm order was received, hard-wire connection is weak.

 

For More Information Call:  (610) 696-1551        Email:  wallinginc@aol.com

                                    Web Site: http://benefits-training.com/publications.htm

 

Make checks payable to: Benefits Training and Consulting

 

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Revised: 03/08/18.