BOOK ORDER FORM:

You May Print (or if you don't have a working printer, write the pertinent information on a sheet of paper) and fill out this form to mail with your remittance.

Mail To:

31600 Silverado Lane,
Waukee, IA   50263
U.S.A

Please enter my order for the book: Prozac: Panacea or Pandora, My Serotonin Nightmare, by Ann Tracy, PhD.  Details are given below.

Sold To:                                                                        

Name:__________________________________

Address:________________________________

City:___________________________________

State/Province:___________________________

Zip Code/Postal Code______________________

Country_________________________________

Contact info (In case of delivery problems): e-mail :________________________  

                                                          Telephone: ______________________

Ship To:

Name:__________________________________

Address:________________________________

City:___________________________________

State/Province:___________________________

Zip Code/Postal Code______________________

Country_________________________________

Please send _____ copies of the book: "Prozac, Panacea or Pandora" to the above "Ship To" address.   For each copy I have enclosed the following in United States funds:

       $23.95 in the United States including shipping and handling.

        For delivery in Canada and Western Europe the price is $27.95 in US funds including     shipping and handling.

        For delivery elsewhere worldwide the price is $29.95 in US funds including shipping and handling.

We will ship up to two copies of the book, or one copy of the book and up to eight tapes, or up to sixteen tapes for each shipping and handling charge.

Please send _____ copies of the tape: "Help! I can't get off my antidepressant!" - How to withdraw safely from antidepressant medications."   (Details safe and successful withdrawal from antidepressants, benzodiazepines, or any other type of mind-altering medications.)  For each copy I have enclosed the following in United States funds:

        $9.95 if ordered with the book above.  Otherwise $13.95 in USA, $17.95 in Canada and Western Europe, and $19.95 elsewhere worldwide, including shipping and handling.

Please send _____ copies of the CD set: "Help! I can't get off my antidepressant!" - How to withdraw safely from antidepressant medications."   (Details safe and successful withdrawal from antidepressants, benzodiazepines, or any other type of mind-altering medications.)  For each copy I have enclosed the following in United States funds:

        $14.95 if ordered with the book above.  Otherwise $18.95 in USA, $17.95 in Canada and Western Europe, and $19.95 elsewhere worldwide, including shipping and handling.

We have a limited number of copies available of the Insight magazine issue that came out in September of 2002 which focuses on Columbine and the case filed against the makers of the antidepressant Luvox by Mark Taylor, the first boy shot at Columbine who took 7 - 13 bullets in the chest as Eric Harris opened fire that fateful day.

The article on Columbine will give you insight on the effects of Luvox upon Eric Harris that will play a role in the case against the drug company. The article has already led to high profile news media spots on Fox News and media around the globe. Kelly O'Meara has really outdone herself on this one!!!

Please send _____ copies of the Insight Magazine issue with the article about the Columbine case. The cost of the magazine is $2.95 per copy. Book rate postage and handling per copy is $1.50 unless the magazine is ordered in addition to a book or tape. When ordering a copy of the magazine in addition to a book or tape the cost for shipping is free. When you are ordering multiple copies of the magazine include, in addition to the $1.50 shipping for the first copy, 50 cents per copy for the 2nd, 3rd, 4th, etc. copies for the postage and handling.

Shipping and Handling for items where it is not included in the stated price:

For delivery within the United States add $4.00 for Shipping and handling;

For delivery in Canada or Western Europe add $8.00 for Shipping and handling;

For delivery elsewhere add $10.00 for shipping and handling.

We will ship up to one copy of the book, or one copy of the book and up to four tapes, for the shipping and handling charge included in the book price; or up to eight tapes for each shipping and handling charge stated above.

Please send _____ copies of the tape: "Interview with David and Fawn Christopher " - (1994, Very informative - health oriented, 1 hr )   For each copy I have enclosed the following in United States funds:

        $5.00 plus shipping and handling. (See above.)

Please send _____ copies of the tape: "Interview with Christian radio broadcaster Frosty Fowler" - (1997, Christian oriented, 1 hr)   For each copy I have enclosed the following in United States funds:

        $5.00 plus shipping and handling. (See above.)

Please send _____ copies of the tape: "Interview with Liberty Forum " - (1998, politically oriented, 1 hr)   For each copy I have enclosed the following in United States funds:

        $5.00 plus shipping and handling. (See above.)

Tapes (set of four tapes) of Ann's appearance on the Art Bell show (with Hilly Rose) June 1999, about Columbine, available for $20.00.  Ship  _____ sets of the Art Bell Show tapes.

Tapes (set of four tapes) of Ann's appearance on the Art Bell show (with Hilly Rose) September 1999, available for $20.00.  Ship  _____ sets of the Art Bell Show tapes.

Tapes (set of three tapes) of Ann's appearance on the Art Bell show (with Ian Punnett) January 2001, available for $15.00.  Ship  _____ sets of the Art Bell Show tapes.

Tapes (set of four tapes) of Ann's appearance on the Art Bell show (with Ian Punnett) June 2001, about Andrea Yates and also about sexual compulsions, available for $20.00.  Ship  _____ sets of the Art Bell Show tapes.

Tapes (set of four tapes) of Ann's appearance on the Art Bell show (with Barbara Simpson) December 2001, about children using antidepressants and about alcoholism, available for $20.00.  Ship  _____ sets of the Art Bell Show tapes.

Of particular interest to members of the Church of Jesus Christ of Latter-day Saints is a Lecture that Dr. Tracy gave to the LDS Home School Association at Brigham Young University.   Add $5.00 if you want the tape of the BYU Lecture included with the other items in your order.   Ship  _____ copies of the BYU Lecture tape.

Video tape of a lecture given by Dr. Tracy on her hometown of Safford, Arizona where several wrongful death suits have been filed regarding SSRI induced suicides.  VHS NTSC (Western Hemisphere and Japanese Analog TV standards.  May not play on European PAL systems.)  The video tape is available for $19.95 plus $4.00 shipping and handling.

All prices given are in United States funds.  Do not Send Cash.   Money Order, Check or Draft should be payable to Ann Blake Tracy

I have enclosed the following type of payment instrument:

(  )  Money order issued by United States Postal Service, American Express, Western Union or a United States chartered bank.  Shipment will be made as soon as possible.

(  ) Cashier's,  Official  or Certified Check issued by a United States chartered financial institution.  Shipment will be made as soon as possible.

(  ) Personal or Company Check or Draft drawn on a United States chartered financial institution.  Shipment will be made in ten days or when our bank notifies us that the check has been paid, whichever is sooner.

(  ) Check or Money order denominated in the funds of the account drawn on an institution not chartered in the United States but chartered in another country.  Please allow for the retail exchange rate and all bank fees.   Only acceptable for Canadian, Western European, South African, Australian, New Zealand, Hong Kong, Japanese and Taiwanese Banks.  Shipment will be made after our bank notifies us that the instrument has been paid to the full U.S. dollar requirement.  As a substantial delay may be involved (as much as 60 days), one of the other payment options is recommended if available.  Most of these banks can sell you a check or draft denominated in U.S. dollars drawn on a U.S. bank, which is preferable as it is less complicated and shipment can be made much, much sooner.

(  )  Pay by Mastercard, Visa, Discover, or American Express and order over the telephone:  Telephone 1-800-280-0730 (Most Countries) and leave the Credit Card Number, Credit Card type (MC or Visa), Expiration date, Name on the Credit Card, and the shipping and products ordered information requested above on the voicemail.  Your order will be shipped as soon as possible.


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