Complete this form, and get it to us by...

1. Online... CLICK HERE for quick and easy online ordering.

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

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

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

Purchaser Name _____________________________________________________________

1st Recipient Name __________________________________________________________

2nd Recipient Name _________________________________________________________

Mail to: Address ____________________________________________________________

City ________________________________ State _____________ Zip _________________

Day Phone _________________________________________________________________

Eve Phone _________________________________________________________________

Fax # _____________________________________________________________________

Your Email ________________________________________________________________

Personal Pathfinder Value Profile:

Yes, I'd like to purchase ______ Personal Pathfinder Profiles for only $50 each
(plus $7 S & H), for a total of $57 each ($69 total to ship outside the U.S.).

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

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

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

Expires ___/___ Signature ______________________________________________________

Submit this order form from your choices above.
Thank you for your support and generosity!

To complete the Value Profile, click here.