Book Order Form

For people who want to save time for me and themselves I offer the opportunity to order my book using my electronic payment form below:

I accept: Visa MC DISC

Mailing Information

Full name  	
Street address	
City	         
State	         
Zip code	
E-mail

Order Information

Body Signals: Healing Through Physical Intuition
Number of books
The Practical Shaman: Bonding With The Earth In The New Age
Number of books

Payment Information

Card type	Visa MC  Discover
Card number	
Cardholder's name
Expiration date	/ (month / year)
Number of books	 ($20* each**)

Total amount	 (US dollars only)

* Postage and tax are included

** Contact me for a special discount plan 
  if you order more than 10 books!

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