The Academy of Integrative Medicine Order Form
The Academy of Integrative Medicine Order Form
The Academy of Integrative Medicine Order Form
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<strong>The</strong> <strong>Academy</strong> <strong>of</strong> <strong>Integrative</strong> <strong>Medicine</strong><strong>Order</strong> <strong>Form</strong>Customer: ______________________________________________________________Shipping Address: _______________________________________________________Date: ____________________Contact: __________________City: _____________________State: _____________ Zip Code: _______________Customer Number: _____________Phone: ______________________Fax: ________________________ Email: _______________________________Reg. PriceSEMINARS & TELECONFERENCESSpring Seminar: Mechanisms <strong>of</strong> Life, San Diego, Early Bird Special 499.00Ask Dr. Jack Individual Teleconference Purchase 65.00Ask Dr. Jack Monthly Subscription, Cost Per Month50.00DIPLOMA PROGRAMSHomeopathic <strong>Medicine</strong> Diploma Program 1,995.00Hormone Analysis and Regulation Diploma Program1,995.00Master Herbalist Diploma (300 Herbs Book Sold Separately) 1,920.00CERTIFICATE PROGRAMSBotanical <strong>Medicine</strong> Certificate, 12 DVDs, Study Guide, 300 Herbs BkDeveloping a Consultation Practice, 1 CD & Mktg CDDrug Depletion Certificate, 1 DVD, Audio Presentation Guide 199.00Fast Track: Natural <strong>Medicine</strong> 11 DVDs/Study GuideHomotoxicology Series <strong>of</strong> 7 DVDs and Study GuideImmune System Series <strong>of</strong> 8 DVDs/CDs, GuideNeurotransmitter Certificate 11 Audio CDs, Study GuidePain Series <strong>of</strong> 11 DVDs and Study Guide550.0099.00499.00499.00499.00550.00499.00Traditional Chinese <strong>Medicine</strong> - 3 DVDs and Study Guide299.00Western Herbalist Certificate Program (300 Herbs Book Sold Sep) 1260.00HOME STUDY PROGRAMSAdrenals, Stress & <strong>The</strong> Stress Response (103 minutes - 1 DVD)95.00Detoxification (87 mins. 2 DVDs)80.00Essential Fatty Acids (35 mins - 1 DVD)32.00<strong>The</strong> Fundamentals <strong>of</strong> Homeopathy (75 mins - 1 DVD)69.00<strong>The</strong> Importance <strong>of</strong> Hydration and Cell Nourishment (52 mins - 1 DVD)48.00Introduction to Natural <strong>Medicine</strong> and <strong>The</strong> Role <strong>of</strong> Gastrointestinal113.00Function (123 minutes - 2 DVDs)Lymphatic Drainage (31 minutes - 1 DVD)29.00Symptom Solutions Questionnaire (36 minutes - 1 DVD)33.00Why Prescriptions Require Supplementation (39 mins - 1 DVD)36.00AUDIO SETSCell Salts CD Set (12)249.00Homeopathy for Kids (11 Audio CDs and Presentation Guide)249.00Miasms CD Set (6)199.00Nosodes CD Set (3) 150.00Potency & Dosing CD Set (2) 100.00Veterinary Homeopathy CD Set (12) 249.00QtyTOTALPage 1 <strong>of</strong> 2<strong>Form</strong> Last Updated 9/22/2010
<strong>The</strong> <strong>Academy</strong> <strong>of</strong> <strong>Integrative</strong> <strong>Medicine</strong><strong>Order</strong> <strong>Form</strong>iNSIGHT HOME STUDY & MARKETING SETSAdrenal Connection iNSIGHT 1 CD, 1 DVD, 1 Mktg CD, Book)199.00Allergies iNSIGHT (1 DVD, 1 Mktg CD, Book)199.00Arthritis iNSIGHT (4 Audio CDs, 1 Mktg CD, Book) 199.00Attention Deficit Disorder iNSIGHT (2 DVDs & 1 Mktg CD, Book)199.00Cardiovascular iNSIGHT (4 Audio CDs, 1 Mktg CD, Book) 199.00Chronic Pain Management iNSIGHT (1 CD, 1 DVD, 1 Mktg CD, Bk)199.00Detoxification iNSIGHT (1 CD, 1 DVD, 1 Mktg CD, Book)199.00Diabetes iNSIGHT (4 Audio CDs, 1 Mktg CD, Book)199.00Fibromyalgia iNSIGHT (6 Audio CDs, 1 Mktg CD, Book)199.00Gastrointestinal Function iNSIGHT (2 DVDs, 1 Mktg CD, Book)199.00Headache Relief iNSIGHT (7 Audio CDs, 1 Mktg CD, 2 Books) 299.00Immune System iNSIGHT (5 Audio CDs, 1 Mktg CD, 1 Book) 199.00Inflammatory Bowel Disease iNSIGHT (5 Audio CDs, 1 Mktg CD, Bk)199.00Insomnia iNSIGHT (2 Audio CDs, 1 Mktg CD, Book)199.00Lymphatic Drainage iNSIGHT (4 DVDs, 1 Mktg CD & Book)299.00Osteoporosis iNSIGHT (4 DVDs, 1 Mktg CD, 2 Books)299.00PMS iNSIGHT (7 Audio CDs, 1 Mktg CD, Book)199.00Prostate iNSIGHT (4 Audio CDs, 1 Mktg CD, Book)199.00Thyroid Function iNSIGHT (8 Audio CDs, 1 Mktg CD, Book)299.00Understanding Homeopathy iNSIGHT (1 DVD, 1 Mktg CD, Book)99.00Weight Management iNSIGHT (5 DVDs, 1 Mktg CD, Book)299.00QUESTIONNAIRE PROGRAMSSymptom Solutions Health Analysis Questionnaire/Training (7 DVDs)795.00Homeopathic Constitution CD199.00MISCELLANEOUS300 Herbs Textbook25.00EB Pro - Foot Detox 2,995.00Health Topics Newspaper Articles 13 weeks520.00Health Topics Newspaper Articles 26 weeks1,040.00Health Topics Newspaper Articles 52 weeksInfrared Sauna - 1 Person (Dual Force 1)2,080.001,495.00Infrared Sauna - 2 Person (Dual Force 2)1,695.00Infrared Sauna - 2-3 Person (Dual Force 2C)1,995.00Infrared Sauna - 2 Person (Elite 201)2,295.00Infrared Sauna - 2 Person Corner (Elite 202C)2,695.00Infrared Sauna - 3 Person (Elite 203A)Infrared Sauna - 3 Person (Dual Force 3A)Infrared Sauna - 3-5 Person (Dual Force 3C)Infrared Sauna - 4 Person (Dual Force 4)Infrared Sauna - 3-5 Person (Elite 3C)Infrared Sauna - 4 Person (Elite 204)2,795.002,495.002,595.002,695.002,895.002,995.00Low Level Laser <strong>The</strong>rapy:Q1000660-ENHANCER (Powered by Q1000)808-ENHANCER (Powered by Q1000)Low Level Laser Protocol Book3,795.001,700.001,700.0050.00Symptom Solutions Printed Questionnaires (Minimum order 10)3.50 eachNC Rewards can be applied to AIM produced educational material only.Credit Card Type: _____________________________________Shipping/Handling (1.5%)$8.00 MinimumNo.:________________________________________Exp. _________Total ChargePage 2 <strong>of</strong> 2<strong>Form</strong> Last Updated 9/22/2010
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