Step 1. Print out
this page and complete the form. Please be sure to include both your postal mailing
address and your email address.
Step 2. Enclose a check or money order (in U.S. Funds only) payable to
Self-Guided.com for the total amount, or complete credit card information
below. It's important to include your phone number in case we need to contact you
about your order.
Step 3. Mail the completed form and your payment to:
Self-Guided.com
P.O. Box 70365
Seattle, WA 98127
Quantity |
Item |
Price |
Total |
| |
Self-Guided Relaxation CD
by Joel Levey
(plus FREE Sleep CD) |
$15.95 |
|
| |
Shipping
(per order) |
$4.00
for U.S.
$5.00 for Canada
$10.00 for all other countries |
|
| |
|
TOTAL |
|
SHIP TO:
Name _________________________________________________________________
Address _______________________________________________________________
______________________________________________________________________
City ___________________________________ State ___________ ZIP ____________
Country (if not USA) ______________________________________________________
Phone (including area code) _________________________________________________
Email address ___________________________________________________________
CREDIT CARD: __VISA __MasterCard
__American Express __Discover __Diner's Club
Credit Card Number ______________________________________ Expiration _________
Signature ______________________________________________ Date ______________