Balanced Life Purchase Form  
 
Balanced Life Purchase Form

Purchase Options

BALANCED Life: A Classroom Simulation

$2,000 for purchase

BALANCED Life: A Reality Fair

Purchase ONLY
$3,500 + Shipping

Purchase & Facilitation
$3,500 + Shipping + $250 + Travel

Facilitation ONLY
$250 + Travel

BALANCED Life: Bundle (A Reality Fair & A Classroom Simulation)

Purchase ONLY
$5,000 + Shipping

Purchase & Facilitation
$5,000 + Shipping + $250 + Travel

Purchase Form

First Name: 
Last Name: 
Title: 
Organization: 
Shipping Address: 
City: 
State: 
Zip: 
Email: 
Phone: 
Please select the item(s) you wish to purchase:





Purchase Agreement: 
Name: 
Title: 
Date: