Vitagenics Institute Foundation
87 CAMBRIAN DRIVE NW, CALGARY AB, CANADA, T2K 1P5
Print Me!                                        Fax: 1-403-284-4625 - Phone: 1-403-282-9395
CANADIAN Card Set & Book Order Form
 
Name: _________________________________________________Date: ____________

 Address: _______________________________________________________________

 City: ________________________ Prov :___________________ Code: ______________

 Phone: _____---____________________ Fax: _________________________________

 E-Mail: ________________________________________________________________ 

GIFT CARDS:
PRESENCE PRESENTS .. . . . . . . . . . . . . . . . . . . . . . . . . ___ at $14.50 = _____.___$CDN
INNER PRESENTS .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ at $14.50 = _____.___$CDN
______________________________________________________________________
INSIGHT CARDS:
GUIDELINES TO PEACE -- SET 1 . . . . . . . . . . . . . . . . ___ at $14.50 = _____.___$CDN
GUIDELINES TO PEACE -- SET 2 . . . . . . . . . . . . . . . . ___ at $14.50 = _____.___$CDN
WAKE UP CALLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ at $14.50 = _____.___$CDN 
BOOKS: ( ISBN #'s ... )
"DO YOU HAVE A MOMENT?" .. . . . . . . . . . . . . . . . . ___ at $16.95 = _____.___$CDN
"ASKCEPTANCE" .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ at $16.95 = _____.___$CDN
"WHERE IS YOUR WORTH? " . . . . . . . . . . . . . . . . . . . ___ at $16.95 = _____.___$CDN
"OPENING TO HEALING " . . . . . . . . . . . . . . . . . . . . . . ___ at $ 7.95 = _____.___$CDN
MANUSCRIPTS:
"Letting Go... One Step at a Time" . . . . . . . . . . . . . . . . . ___ at $45.00 = _____.___$CDN
(BEYOND CONTROLOHOLISM) 
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SUBTOTAL = _____.___$CDN
. . . Add $4.95 plus $1.00 per additional item for Postage and handling: = _____.___$CDN
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL = _____.___$CDN 
Prepay by :Certified Cheque ____ Money order _____ or VISA _____
Make Certified Cheques and Money Orders payable to VITAGENICS

 VISA Cardholders complete below.
Valid Card Number: ________________________ Expiry Date:______________

Signature : ______________________________(fax or mail VISA)
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