PREFER TO ORDER ONLINE CLICK HERE!

Or, complete this form, and get it to us by...

1. Fax... complete this form and fax it to 419-710-3380 with your Visa or Mastercard information and signature.

2. Phone... call 1-973-736-1304. Give us all the information below.

3. Mail... a check with the completed enrollment form to:
Axelrod Learning - 14 Seaman Road - West Orange, NJ 07052

Name _____________________________________________________________________

Address ___________________________________________________________________

City ________________________________ State _____________ Zip _________________

Day Phone _________________________________________________________________

Eve Phone _________________________________________________________________

Fax # _____________________________________________________________________

Email _____________________________________________________________________

Select a profile from the choices below. Complete one order form per person.

Yes, please run my Value Profile I've selected below and provide a one hour feedback and coaching session with a Certified Value Consultant™ regularly $350, NOW ONLY $250 plus $7 for printing and shipping for a total of $257. I may also participate in a group tele-coaching session at no additional charge.

Career Development
DELUXE Sales Success (add $50)
Sales Hiring/Selection
Customer Service
Customer Service Hiring/Selection
Manager
Manager Hiring/Selection
Owner/Executive (add $100)
Team Building (By Individual Quote) - email us directly

Yes, I'd like to register right now for the SPECIAL 60-day coaching turn-around. This includes a DELUXE Value Profile report, one hour feedback session, plus three (3) additional 30-minute coaching sessions within 60 days.

Regularly $750, I invest only $500 when I enroll along with my initial Value Profile registration.

______ Here's my check for $ ___________ payable to Axelrod & Associates.

______ Please bill $ ____________ to my Visa or MasterCard (circle one)

Card # __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Expires ___/___ Signature ______________________________________________________

We thank you for your confidence and commit our support to your success!

Submit this order form.

Then, proceed to complete your Value Profile HERE.