Order form for "Creating Spiritual Connection,"
with Norvene Vest

  
     
 

Please print the form and fill in the information. Mail the completed form, along with your check for the full amount, to:

Axis Terrae Communications

122 Mallard Avenue

Goleta, California 93117

Make your check payable to Axis Terrae.

  
 

How to calculate the amount to send: For EACH copy of the DVD you order, the price is:

$16.50 for the DVD. If you live in California, add $1.28 for sales tax.

For shipment within the USA, add $5.00  For shipment to Canada, add $8.75

For shipment to any other country, add $11.50

Thus, for example... within USA, outside california, $21.50 for each copy you order;

in California, $22.78 per copy ordered.  In Canada, $25.25 per copy ordered;

in any other country, $28.00 per copy ordered.

PLEASE PRINT CLEARLY

Please send me _____copies of the "Creating Spiritual Connection" DVD.

 

Name: _______________________________________________________________________

Address: _____________________________________________________________________

City, State, ZIP: _______________________________________________________________

Phone: ____________________

Email: ___________________________________________

 

I am enclosing my check for the full amount due. (See the "How to calculate..." instructions, above.)