Welcome to BarryRoberts.com Barry Roberts
603 Richmond Road
East Meadow, NY 11554
Phone: 516.489.6714
Fax: 516.538.4668
Everyone is talking about him!

Product Order Form

Quantity Description Cost Each Amount
Practice Safe Stress (Book) $12.00
Practice Safe Stress tee shirt (specify size below in special instructions) $10.00
Practice Safe Stress Buttons, package of 12 $10.00
8" Practice Safe Stress Teddy Bear $12.00
The Sales Coach II $19.95
New Book  Sub Total
Please add $3.50 shipping and handling for any one item
Add $1.00 shipping and handling for each additional item
(New York Residents, Please add Sales Tax)
TOTAL
YES! I know of a corporation, business association or other organization that can benefit from Barry's speaking services. Please send information.

BILLING INFORMATION
(as it appears on your credit card)
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CREDIT CARD

VISA
MASTER CARD
AMERICAN EXPRESS

NUMBER
EXPIRATION
CARDHOLDERS NAME
ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
PHONE
FAX
EMAIL
SHIPPING ADDRESS
All shipments are 2-3 Day Priority Mail
Check if same as above
NAME
ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
PHONE
HOW I LEARNED ABOUT THIS SITE
SPECIAL
INSTRUCTIONS

Click the Submit This Order button to pay by credit card. If you wish to order by fax or mail, please click the PRINT button on your browser and fax or send the above information (and payment) to:
Barry Roberts, Inc.
603 Richmond Road,
East Meadow, NY 11554