Dorothea Johnson Productions, Inc. - Dorothea Johnson, Founder of The Protocol School of Washington, Etiquette and Protocol Expert, Author

Mail-Order Programs: Modern Manners for Children^®Order Form

It’s so easy to order!
You may order one of two ways
(prior to printing this form, fill in the requested information):

Fax completed form and credit card payment to 1-207-781-6580

Mail completed form and payment to: Dorothea Johnson Productions, Inc., P.O. Box 479, Yarmouth, ME 04096

* Date:

* Honorific:

Ms. Mr. Mrs. Dr. Other:

* Full Name:

Position/Title:

Company:

* Address:

(U.P.S. does not deliver to a Post Office Box)

* City:

* State:

* Zip Code:

* Telephone:

* Facsimile:

* E-mail:

INVESTMENT:

U.S.A. & Canada: $795.00(U.S.D.) Non-refundable.

Foreign: $895.00(U.S.D.) Non-refundable. Includes insurance and Air Mail
            Delivery.

DISCOUNT FOR TRAINED AND CERTIFIED CONSULTANTS:

Children’s Etiquette Consultants trained by The Protocol School of
            Washington^® or The Etiquette & Leadership Institute: $595.00(U.S.D.)
            Non-refundable.

Foreign: Children’s Etiquette Consultants trained by The Protocol School
            of Washington^® or The Etiquette & Leadership Institute: $695.00(U.S.D.)
            Non-refundable. Includes insurance and Air Mail Delivery.

Date certified:    Training Title:

Enclosed is payment by:
Check, made payable to Dorothea Johnson Productions, Inc.
Visa MasterCard

Card #: Exp. Date:

Name as it appears on the card (print):

Signature:

Quantity

Subtotal

Total

Please allow 4 to 6 weeks for delivery.

Dorothea Johnson Productions, Inc.
Post Office Box 479, Yarmouth, Maine 04096
Telephone: 207-781-2723 Facsimile: 207-781-6580
Email: dj@dorotheajohnsoninc.com