| Registration
and Ordering Information...
Payable
by all Major Credit Cards and PayPal using PayPal as the secure payment processor.
My program will begin the day you register for it or it can begin on your chosen quit
date. Once you have registered you will be redirected to an information form that will
allow you to tell me a bit about your smoking habits, how long you have smoked, what
method you are using to help you to quit, and your reasons for quitting smoking. You may
also include your quit date. This will assist me to personalize your program.
The
total cost for my program is $25.00

|
Copyright
© 1991-2008 The Quit Smoking Coach
Last Updated March 2008
|