TECHNICAL TRAINING ASSOCIATES

HEAT PUMP VIDEO ORDER FORM

(DVD Format)

(COMPANY) NAME _______________________________________________

STREET ADDRESS _______________________________________________

CITY ________________________________STATE _______ ZIP___________

Phone ___________________________ FAX____________________________

Please Send Me The Following Video(s):

___ Uncomplicating The Heat Pump: Electrical System Troubleshooting...$79.95

___  Uncomplicating The Heat Pump: Refrigeration & Air Flow Systems.....$79.95

___ Buy Both And Save $$: Package Price.................................................$140.00

Check, Money Order, Visa or MasterCard Accepted.

Purchase orders accepted from Public Schools, Universities, Colleges and Government Agencies.

CREDIT CARD INFORMATION: ___ Visa      ____MasterCard

CARD # _______________________________________________________________

EXPIRATION DATE: ______________________

SIGNATURE __________________________________________

Send This Form With Payment To:

Technical Training Associates, HC 70 BOX 3172, Sahuarita, AZ 85629

Or, Fax To 520-648-3334