- Off Line Order Form -
Print out the following order form, fill it out off -line, and mail or fax it to the address or facsimile number at the bottom of this page.

You can order with VISA or MasterCard by phone at (415)331-6161 x 109. We will contact you within 3-days from the time we recieve your order. Thank you.

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ORDER FORM
ORDER NUMBER TITLE PRICE QUANTITY TOTAL ________ _________________ _________ ________ _________ ________ _________________ _________ ________ _________ ________ _________________ _________ ________ _________ ________ _________________ _________ ________ _________ ________ _________________ _________ ________ _________ Subtotal _________ Shipping and handling charges* _________ Ca. residents add 7.25% tax _________ Total Enclosed _________ * Shipping and handling charges: add US$3.00 for the first item, US$1.00 each for any subsequent items purchased. Prices subject to change without notice. ___________________________________________________________________________________ Mail to: The Center For Attitudinal Healing, 33 Buchanan Drive, Sausalito, California 94965
Fax to: (415) 331-4545 Send to: Name ______________________________ Telephone (________)_______________ Permanent Address _________________________________________________ City ______________________________ State __________ ZIP __________ ____ Check enclosed. ____ MasterCard ____ VISA _______________________________________________________ __________ Charge card number Exp. Date (credit orders subject to approval) _______________________________________________________ Signature

Thank you for your order!
The Center For Attitudinal Healing
33 Buchanan Drive, Sausalito, California 94965
(415)331-6161, FAX (415)331-4545

Copyright 1996 by The Center For Attitudinal Healing and WebWare Corporation