Please phone 207-236-8858 or print out and mail or fax this form to:

Gift from Within
16 Cobb Hill Rd.
Camden, Maine 04843
USA
207-236-8858
Fax: 207-236-2818
Email: JoyceB3955@aol.com

(You may email this information but we do not support secure online transactions for credit card numbers at this time.)

PLEASE PRINT:
Ordered by:

Name_______________________________________________________________

Mailing Address_____________________________________________________________
                                                                                 
City___________________________________State_________ Postal Code___________

Country_______________________________________________________

Daytime Phone_________________________________________________

Email address__________________________________________________


Ship to: (if different)

Name_______________________________________________________________

Mailing Address_____________________________________________________________
                                                                                 
City___________________________________State_________ Postal Code___________

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Videos

1."Frank Ochberg, M.D. on PTSD"
40 minutes DVD     $30.00 ______ ______

shipping costs




2."Frank Ochberg, M.D. on PTT:
The Counting Method"
25 minutes DVD...Individual $30.00 ______ ______

Institutional/Group Viewing...... $99.00 ______ ______

shipping costs
 


3. "PTSD In Children: Move In the Rhythm of the Child"
 
 60 Minutes DVD    $30.00 ______ ______
  
shipping costs



4.  "When Helping Hurts: Sustaining Trauma Workers"
 
 50 Minutes DVD    $50.00 ______  ______
 
Also available:

4b.  17 minute version of 
 "When Helping Hurts: Preventing & Treating Compassion Fatigue."  
 Useful for individuals, workshops and classroom settings. 

DVD      $30.00. ______  ______

shipping costs



5.  "Recovering From Traumatic Events: The Healing Process."

 Professional Version: 
 33 Minutes, includes 
 10 min. presentation             $65.00 ______  ______
 
shipping costs


5b. "Recovering From Traumatic Events: The Healing Process."

 Survivor Version:
 23 Minutes                       $30.00  ______  ______
 
shipping costs



6. "Living with PTSD: Lessons for Partners, Friends and Supporters."

 18 Minutes. 

 DVD      $30.00 ______  ______

shipping costs



7. "Explaining PTSD is part of Treating PTSD: Lessons for Mental Health Professionals."

 24 Minutes.

DVD...Individual..........$40.00 ______ ______

Institutional/Group Viewing......$99.00 ______ ______
 
shipping costs



8. "Survival From Domestic Violence: Stories of Hope and Healing."

 14 Minutes.

 DVD      $30.00 ______  ______
 
shipping costs



9. "Resiliency After Violent Death: Lessons for Caregivers."

DVD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.00
RT: Panel Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47:32 Minutes
RT:Two Clinical Interviews . . . . . . . . . . . . . . . . . . . . . . . . . . .62:09 Minutes

               $50.00 ______  ______

shipping costs



10. "Surviving Trauma & Tragedy: Lessons For Future Physicians & Mental Health Professionals."

 82 Minutes.
 DVD           $50.00 ______  ______

shipping costs



11. Audio CD: "Sage Advice for Trauma Survivors and Caregivers with Dr. Frank Ochberg."

    58 minutes.       $l5.00. _______ 

shipping costs



12. CD: "Sage Advice for Therapists New to Treating PTSD Clients with Dr. Frank Ochberg."

    36 minutes.       $l5.00. _______  

shipping costs



13. DVD: "PTSD & Veterans: A Conversation with Dr. Frank Ochberg."

    57:41 minutes.  
    DVD    Individual......................$60.00._______ 

    Institutional/Group Viewing...........$120.00._______

shipping costs


































Receive a free "PTSD Is Real" wristband when you order "PTSD & Veterans: A Conversation with Dr. Frank Ochberg."




















 


14. DVD: Making Peace with Chronic PTSD -- Marla's Story.

	54 minutes.
	DVD 	Individual Therapist/Health Professional........$65.00._______

	Institutional/Group Viewing.............................$95.00._______

	Note: Special price for survivors of trauma only.........$20.00_______

	Outside the US add $5 shipping. Please get a money order or foreign draft order from your bank in US funds, 
	or use a credit card, paypal or email us for wiring information. 

shipping costs

	
	


15. NEW: DVD: Psychotherapy for Chronic PTSD: A Vietnam Vet's Journey with Dr. Frank Ochberg.

	Disc #1 RT 1:24
	Disc # 2 RT 1:23
	DVD  Individual Viewing.............................$69.00________

	Institutional/Group Viewing.........................$199.00________

	If you need CE credits then you may want to purchase this program from www.psychotherapy.net

shipping costs




* For USA Shipping (USPS rates are based on zone and weight):

**CEU call for financial arrangement 


Mailing Costs For Shipping in the United States 
We ship USPS -Priority Mail-  2-3 day delivery

Up to 5 DVDs $6.45
each additional add $.50
 
- for faster delivery please call in rush or urgent orders
Express Mail - one DVD (most places next day delivery) Approximate cost:  $l4.55-$23.40 depending on destination.
Additional DVD's please call - depends on destination

For APO addresses postage is $5.70

International Mailing

For Canadian Orders please contact Frances Broome - Kinetic Video at fmb@kineticvideo.com or call TOLL-FREE - (800) 263-6910 or (416) 538-6613. Please ask for Frances. 
 
Air Mail  $9.15 for the first DVD. 4-7 days depending on customs

Global Priority Mail $16.95 first DVD ($10.95 Canada and Mexico). 4-6 days depending on customs

If ordering more then one DVD please ask for mailing costs.  Shipping costs depend on Country and Weight.

If you fax an international order, also please send it as an email to JoyceB3955@aol.com

              Subtotal: _________

       * Maine residents only: 5% Sales Tax: _________

              Shipping and handling: _________
               
                  Total: _________



Total Enclosed:____________ Charge my: [  ]Visa  [  ]MC   Exp Date:__________ 

Cardholder Verification Value (CVV2)____________ 
Note-The 3-digit code is located on the back of your card, inside the signature area usually the last three digits are the CVV2 code.




Card Number:__________________________________  Signature:______________________________________

Please Note: These prices are for individual use and noncommercial in-house training purposes.

If you are interested in using our DVDs and/or articles for commercial purposes, as in continuing education courses, please contact Joyce at Joyceb3955@aol.com for permission and financial agreement.

For programs under 30 minutes:
$200 per year
unlimited showings
onsite workshops only

For programs over 30 minutes:
$400 per year
unlimited showings
onsite workshops only.