2015
PRICES SUBJECT TO CHANGE AT ANY TIME.
DibbleInstitute.org
1. Complete order form or purchase order.
2. List complete item numbers and names.
3. Provide street address (no PO boxes).
BY MAIL: The Dibble Institute, PO Box 7881,
Berkeley, CA 94707-0881
BY PHONE: 1-800-695-7975
BY FAX: 510-649-5009
ONLINE: www.DibbleInstitute.org
PURCHASE ORDER # _______________________________
PAYMENT ENCLOSED
BILL ME
CHARGE MY CREDIT CARD
MASTER CARD VISA AMEX DISCOVER
CARD # ___________________________________________
EXP. DATE __________________ SECURITY CODE _____
SIGNATURE _______________________________________
Shipping
A shipping and handling charge of 10% ($8 min.) will be
added to invoices. Deliveries may take 3–4 weeks and
may arrive in batches, a day or more apart.
Method of Payment
Please include payment with your order. Checks and
money orders are payable to The Dibble Institute.
We also accept VISA, MasterCard, American Express,
or Discover. If you wish to be invoiced, include the
authorizing person’s name, title and signature, and
purchase order number.
Customer Service
Let customer service help. If you have any questions
about your order, call 1-800-695-7975 or email Relationship
Skills@DibbleInstitute.org. When corresponding, please
include your invoice number and date of order.
No-Risk Guarantee
Every Dibble product is unconditionally guaranteed. If
for any reason you are not completely satisfied, contact
us within 30 days, return the item in saleable condition,
and we will credit your account, no questions asked.
SHIP TO ADDRESS
NAME ____________________________________________
ORGANIZATION __________________________________
ADDRESS _________________________________________
CITY ______________________________________________
STATE ______________________ ZIP __________________
TELEPHONE _________________ FAX _________________
EMAIL ___________________________________________
BILL TO ADDRESS
NAME ____________________________________________
ORGANIZATION __________________________________
ADDRESS _________________________________________
CITY ______________________________________________
STATE ______________________ ZIP __________________
TELEPHONE _________________ FAX _________________
EMAIL ___________________________________________
It’s Easy to Order! DibbleInstitute.org or 1-800-695-7975
ITEM # TITLE PRICE QTY AMOUNT
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
SUBTOTAL $
10% SHIPPING AND HANDLING ($8 MIN) $
FREE shipping for orders within 30 days of a conference.
CONFERENCE NAME
$ 0.00
SD/CA SALES TAX $
GRAND TOTAL $