MY-TYME® SUCCESS PLANNER™. ORDER FORM 
LEADERSHIP DYNAMICS GROUP
 7315 W. Hearthstone Green Dr.  Houston, TX 77095  Telephone: [281] 463-9111 
Sold To:__________________________
Address:_________________________
City:_____________________________
State:___________ Zip:_____________		 Ship To:__________________________
Address:_________________________
City:_____________________________
State:___________ Zip:____________

Customer Phone No.  

Customer Fax No. Customer Email

QTY.

STOCK #

STARTING
MONTH

DESCRIPTION

UNIT
PRICE

TOTAL PRICE
   MU12   ONE YEAR STARTER SET  $52.00  
      One year starter set 8"x5", six multicolored index tabs and forms, A-Z phone directory tabs, calendar dayfinder and a two D-ring storage binder (seven ring binders sold separately) SPECIFY STARTING MONTH    
   MR32   12-MONTH RENEWAL FILLER SET  $44.00  
      One year calendar set, calendar dayfinder and a three D-ring storage binder (renewal orders only)
SPECIFY STARTING MONTH		    
   MR31   SAME AS MR32-NO STORAGE BINDER  $39.00  
   MB220010   PADDED VINYL BINDER (BLACK)  $15.00  
      Simulated leather creates the look and feel of real leather. One pen loop, one inside pocket, rounded corners and seven 1½" rings.     
   MB220011   PADDED VINYL BINDER (BURGUNDY)  $15.00  
   MB220006   ZIPPERED VINYL BINDER (BLACK)  $67.00  
      Zipper closure, two inside pockets, two pen loops, business card pockets, rounded corners, and seven 1½" rings.     
   MB220007   ZIPPERED VINYL BINDER (BURGUNDY)  $67.00  
 

 MB220008

   LEATHER BINDER w/ Zipper (BLACK)  $85.00  
   MB220009   LEATHER BINDER w/ Zipper (BURGUNDY)  $85.00  

 INITIALS

 Personalize your binder (Specify  3 letters)         $5.00Set  

CHECKS ONLY: Check must accompany all orders. (NO COD's)
MADE PAYABLE TO:
LEADERSHIP DYNAMICS GROUP

DELIVERY within 2 WEEKS of receipt of Order.

 SHIPPING AND HANDLING:
 $   0  - $ 40 add  $ 9.95
 $ 40  - $ 75 add  $10.95
 $ 75  - $100 add $12.95
 $100 - $150 add $15.95
 $150 - $200 add $17.95
 $200 - $300 add $19.95
TOTAL  

SHIPPING
(See Chart)

  

TOTAL

  
SEND ORDER FORM AND CHECK TO: LEADERSHIP DYNAMICS GROUP
7315 W. Hearthstone Green Dr.  Houston, TX 77095