New clients, please enter your age:
Under 12
13-17
18-21
22-33
34-45
44-60
61-God Bless You!
As a place to start, all radio buttons have one button pre-selected with the
dot, like the dot inside the "22-23" button above. To select a different button,
just point the tip of your mouse arrow over the button you want to select and
click. The dot will move inside your new selection.
Please check as many boxes as apply to you:
Stand-Up Comic
Speaker
Doctor
Shrink
Attorney
Politician
Minister
Business person
Jokesmith
Sketch writer
Sitcom writer
Playwright
Screenwriter
Other
All boxes have one box pre-checked as a suggestion. To unselect a box, like
the check in the Stand-Up Comic box above, just click on that box.
Add other description of your job and goals:
Stand-Up Comics only:
To place an order and/or get on Jim's e-mailing list, new and current folks please enter--
Your name:
Address
City
State/Province
Postal Code
Work phone number:
Work FAX number:
Home phone number:
Home FAX number
Cellular phone number
Pager
e-mail address
Jim, please e-mail me when you have new:
YES, I am ready to buy Jim's home study program totaling more than:
21 hours of audio tape and
1,200 pages of workbooks
I am checking the boxes that apply to me:
$1,000.00
California resident so I must pay State Sales Tax of 9.5% = $95.00
Non-resident so I pay no sales tax
Shipping: $60.00
Sub-total:
California resident $1,155.00
Non-resident $1,060.00
Get home study program another time
I would also like some coaching and co-writing:
I am sending Jim 5 minutes to one hour of video tape(s) from my presentations.
I would like Jim to bill me today:
$1,800.00 for Jim's 9 hour introductory package, to be pre-paid
Discount packages for pre-paid blocks of hours (assumes Jim's hours
working on both writing and coaching will be completed within 12 months)--
10% off for 50 hours: $9K
20% off for 100 hours: $16K
Best deal: "Deluxe
Package":
33% off for 150 hours: $20K (includes Jim's home study materials, a $1,000 value!)
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 me by e-mail at:
jim@jimrichardson.com
or phone me at: 415-877-4424.
You can also
print this form, check to make sure that all blanks printed out, and then
mail it to Jim at:
Jim
Richardson
ORGANIZED
COMEDY
P. O. Box 992
Mill Valley, CA 94942-0992
USA
