Email address

YES, I am ready to have Jim's one-on-one coaching and Home Study Program:
Jim's coaching and co-writing your stand-up comedy act or business keynote speech is at $200/hour:
Number of hours: All purchased coaching hours, "assumes Jim's hours working on both writing and coaching will be completed within 12 months." Plus: videoconference coaching over the Internet at no additional charge has been available since January 4, 2003.

Jim's entire Home Study Program (1,200 pages of workbooks and 21 hours of audio tape) sells for $1,000 + $25 shipping (+ tax for CA residents):
Number of Programs:

Grand total I am paying for above products & services: $US

Payment method: check money order credit card Visa MasterCard American Express Discover Number of my card: Expiration—month: year:

Please take one last look at this order form to make sure that you have placed all the orders you want, then check here to confirm that order is: correct

Thank you for writing up your order.

To submit this form please:

This program is supported by most major browsers. But, if you haven't received a confirmation e-mail back from Jim within two days, then please bug Jim by e-mail at: jim@jimrichardson.com or phone Jim at: 707-829-1313.

To clear form:

You can also print this form, check to make sure that all blanks printed out, and then snail-mail it to Jim at:

Jim Richardson
ORGANIZED COMEDY
413 Furlong Road
Sebastopol CA 95472
USA

Or FAX this form immediately to Jim at: 707-829-9798