Dr. Kevin Elko's Product Order Form
First Name
Last Name
Street Address1
Street Address2
City
State
Zip
Phone
Email
Nerves of Steel Book
Quantity
The Pep Talk Book
Quantity
How You Think CD
Quantity
Think Like a Winner CD
Quantity
Vision for Victory CD
Quantity
How You Think MP3 Player
Quantity
Winning the NFL Way Book
Quantity
Shipping Charges
Total Cost
How did you hear about Dr. Elko's Products?
Please add $4.50 Shipping and Handling for 1st Item (*add $1.25 for each additional item*)
Please complete the form and print. Make your check payable to
One Source Marketing (Please do not make checks payable to Nerves of Steel!)
and mail to:
Nerves of Steel
P.O. Box 336
Hiller, PA 15444