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

 Address: _______________________________________________________________

 City: ________________________ State :___________________ Zip: ______________

 Phone: _____---____________________ Fax: _________________________________

 E-Mail: ________________________________________________________________ 


GIFT CARDS:
PRESENCE PRESENTS .. . . . . . . . . . . . . . . . . . . . . . . . . ___ at $ 10.50 = _____.___$US
INNER PRESENTS .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ at $ 10.50 = _____.___$US
______________________________________________________________________
INSIGHT CARDS:
GUIDELINES TO PEACE -- SET 1 . . . . . . . . . . . . . . . . ___ at $ 10.50 = _____.___$US
GUIDELINES TO PEACE -- SET 2 . . . . . . . . . . . . . . . . ___ at $ 10.50 = _____.___$US
WAKE UP CALLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ at $ 10.50 = _____.___$US 
BOOKS: ( ISBN #'s ... )
"DO YOU HAVE A MOMENT?" .. . . . . . . . . . . . . . . . . ___ at $12.95 = _____.___$US
"ASKCEPTANCE" .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___ at $12.95 = _____.___$US
"WHERE IS YOUR WORTH? " . . . . . . . . . . . . . . . . . . ___ at $12.95 = _____.___$US
"OPENING TO HEALING " . . . . . . . . . . . . . . . . . . . . . . ___ at $6.95 = _____.___$US
MANUSCRIPTS:
"Letting Go... One Step at a Time" . . . . . . . . . . . . . . . . . ___ at $35.00 = _____.___$US
(BEYOND CONTROLOHOLISM) 
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SUBTOTAL = _____.___$US
. . . .Add $6.50 plus $1.95 per additional item for Airmail and handling: = _____.___$US
.. . . . . International add an additional $1.00 per total number of items: = _____.___$US
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL = _____.___$US 
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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