Doc Bear AdventuresOrder Form
Be sure to enter correct e-mail addresses if you wish to receive your order confirmation.

Please review sample and lesson name before placing your order.

Your FULL name:
[required]
Street Addres
City, State, ZIP CODE): s
[required]
Home Phone:
[required]
Visa or MasterCard # with Expiration Date-Warning: This is a non-secured site. Call if you prefer.
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E-mail address:
[required - for confirmation]
Which Start Up activitity do you wish to order?

1 Booklet with at least 4 Start Up Activities: $10 each, or $25 for all three.

Select one item per line.

Thank you.




I would like to get a copy of what would be sent to the Doc Bear Associate.
Please provide the following additional information:
1. For Which GRADE LEVEL are you ordering? Preschool, K, 1, 2 and 3 are available NOW). Multiply the sheet by each grade level.
2. Total of your order
2. Add 8.75% sales tax to total if your order is going to a Louisiana address.
3. Add 10% for shipping (USPS Priority Mail Only), and handling
4. DAY TELEPHONE NUMBER.
Thank you for your order!

Warning: This is a non-secured site. You charge will show up as "World Academy of Martial Arts/Karate Supply Shack"
By selecting the SUBMIT Button below, you are agreeing to the following conditions:
I hereby submit my order for Doc Bear Materials. I agree to duplicate handouts and any other materials as per the licensing agreement I purchased (handouts are $5.00 per 100 duplicated. After you produce 100 copies you MUST purchase another license to produce an additional 100, and so forth.) LIfe&Health Enahncement Services and/or Michael Pejsach ("Store") are not liable for any errors in your order, or any issue related to incorrect orders, late delivery of orders or any such matter. The applicant ("Applicant"), whose full name appears above, hereby stipulates that he/she is over age 18. Applicant hereby also verifies that the credit card information is in his/her name and is accurate to the best of his/her knowledge. Applicant hereby waives, releases, and forever discharge the Store, and all participants, on behalf of Applicant, his/her heirs, his/her executors, his/her administrators and assigns, of any and all claims, rights, or causes of action whatsoever for any errors, damages or injuries which may arise as a result of this order. Applicant hereby waives and forever holds blameless, for any consequence as a result of this order, or which might arise thereafter, against any person or entity in any way connected with the Store. The Applicant indemnifies and release all members of Store from all claims made or which may be made on behalf of the applicant, for the aforesaid consideration. Applicant understands that prices are subject to change without notice. Applicant agrees to take responsibility for his/her order errors and pay for return shipping if necessary.

Thank you for your order! For more information, call us @ (===) ===-====.
Fully operational store coming soon!