Printable Order Form
If you'd rather not use our secure online
Health Shop,
you can order by mail, phone, fax, or email. Start by printing and filling out this page. Then send the information to the address or number listed on our Contact Page at
www.dietpower.com/who_we_are/contact_us.php.
1. DietPower Product You Are Ordering
Check all that apply. If you're ordering more than one of any item, enter the number you're ordering instead of a checkmark.
- ___ First Key (converts Version 4.4 trial to paid if you don't own an older version): $27.95.
- ___ First Key (converts Version 4.4 trial to paid if you don't own an older version) + CD: $37.90 + $3.99 shipping and handling = $41.89.
- ___ Upgrade Key (converts Version 4.4 trial to paid if you own an older version): $27.95.
- ___ Upgrade Key (converts Version 4.4 trial to paid if you own an older version) + CD: $37.90 + $3.99 shipping and handling = $41.89.
- ___ Spare Key (converts Version 4.4 trial to paid if you already own 4.4): $6.95.
- ___ Spare CD (for people who have already purchased DietPower 4.4): $15.95 + $3.99 shipping and handling = $19.94.
- ___ Consultant Edition (for practitioners who want to use DietPower for advising clients): $95.00 + wholesale price of Personal Edition copies for your clients* + $3.99 shipping and handling = $______.___.
- ___ Classroom Edition (for public and private K-12 and colleges): $95.00 + a per-seat fee of $30 for each computer on which the program will be installed + $3.99 shipping and handling = $______.___.
- ___ Large Group Edition (for organizations who want to provide DietPower to many members): $95.00 + a per-member fee* + $3.99 shipping and handling = $______.___.
2. Add This to Your Order?
- ___ BodyTracker CD (a companion program that measures and graphs your body-fat content over time and lets you create a slide show of Before, During, and After photos of yourself): normally $29.99, but only $15.95 if you add it to any order that already includes DietPower. (Both DietPower and BodyTracker come with no-hassle, money-back guarantees. BodyTracker's lasts 30 days. DietPower's lasts a full year for the Personal Edition; 30 days for the Consultant, Classroom, and Large Group editions.)
3. Sales Tally
$ ______.___ SUBTOTAL (including shipping and handling shown above)
+
$ ______.___ SALES TAX (add 6.35% if you live in Connecticut)
=
$ ______.___ TOTAL
4. If you're ordering a key…
…start up the installation of DietPower that you want to unlock, click the Buy Now button, and write the Installation Number below. (If you're ordering a key for more than one computer, you must do this for each computer. Your license will allow up to four people who live in your household to use DietPower on any computer anywhere, provided only those four use it. Violating the license is a federal crime, and will be prosecuted to the full extent of the law.)
- Installation Number: _______ - _______
- Installation Number: _______ - _______
- Installation Number: _______ - _______
5. Information About You
- First name: ___________________
- Last name: ___________________
- Address 1: _____________________________________________
- Address 2: _____________________________________________
- City: _________________________
- State or Province: ______________
- ZIP or Postal Code: _____________
- Country: ______________________
- Phone number: ____________________________
- Email address: ____________________________
6. Payment Information
Make checks payable to "DietPower." Don't forget to add 6.35% sales tax if you live in Connecticut.
- Card type: ___ Visa ___ MasterCard ___ AmExpress ___ Discover
- Card number: ______________________________
- Expiration (MM/YY): _____/_____
- Security number (3-digit number on back of Visa, MasterCard, or Discover; or 4-digit number on front of American Express): _______
- Name on card: _____________________________
7. Where to Send This Information
See our Contact Page at http://www.dietpower.com/who_we_are/contact_us.php.
8. When to Expect Delivery
We normally process mail orders by the second business day after receiving your check or payment information. CDs are mailed First Class from our headquarters in Connecticut. Keys are emailed to the address you cite in section 5, above.
7. Questions?
See our Contact Page at www.dietpower.com/who_we_are/contact_us.php.
—DietPower Sales Department
