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                  To Mail your order
              Print out this order form:

Snail mail it to:
Work Violence Solutions
17371 Walnut Grove Drive
Morgan Hill, CA 95037


Yes, rush me the "Small Business Workplace Violence Prevention System". I understand that I can review the material and put it into practice in my business for 4 full months. Then if for any reason I am not satisfied, I can return it for an immediate refund... no questions asked. The System will be sent via Regular Mail within 5 business days of receiving your order (Please not that your order may take up to 2 weeks to arrive) 

( * = Required Information)

*Name: __________________________________

*Email: __________________________________
             (double check spelling)

Company: ________________________________(optional)

*Address: ________________________________

(Please be sure to enter a physical mailing address as your System is being sent by regular postal mail)

*City: ___________________________________

*State: __________________________________

*Country: ________________________________(outside the USA)
(please check your shipping costs below)

*Zip: __________________

Phone: (____) ______ - ___________

[   ] I am enclosing a check or money order for $147 USD plus shipping and handling charges (see below) -- Please note that we do not accept checks by fax, so if you are paying by check you must mail it in (shipment will be made when your check clears).

USA

$28

Outside  USA

$38

Please include my Free Bonuses with my order.

  1. Fully customizable policy manual.
  2. Fully customizable Weapons policy and Domestic Violence Policy Statements.
  3. Hazard and Security Assessment forms.
  4. Fully customizable Workplace Violence Policy Statement.

Signature: _________________________________ Date: ___________



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