Ordering Information
Mail or fax the form on this page or call 519-471-6234 to order any of the CDs in this list. All orders shipped within 10 business days of receipt. VISA, Master Card or money orders (made out to Kallie P. Miller) are honored. NO CHECKS PLEASE!
Mailing address: The Optimal Life Center, 19-925 Lawson Road, London, ON N6G 4X3, Canada
Telephone 519-471-6234, Fax 519-471-5275, 4optimallife@rogers.com , website www.4optimallife.comAccutone CD Order form
Copy and paste this order form to a word processor document and print it or hold down the Ctrl key and press "P" to print this page. Click here to return to the previous page.Please indicate the number of copies of each CD you want to purchase.
Accutone CD Order form
Please indicate the number of copies of each CD you want to purchase.
QUANTITY TITLE
#1 _____ #2_____ #3_____ #4a_____ #4b_____ #5 ______ #6 _____ #7 _____ #8a_____
#8b_____ #9_____ #10_____ #11 _____ #12 _____ #13______ #14_____ #15_____ #16_____
#17_____ #18_____ #19_____ #20 _____ #21 _____ #22______ #23_____ #24_____ #24a____
#25_____ #25a____ #26_____ #27 _____ #28a ____ #28b_____ #28c____ #28d____ #28e____
#28f____ #28g____ #28h____ #28j _____ #28k_____ #29 _____ #30_____ #31_____ #32_____
#33_____ #34_____ #35_____ #36 _____ #37 ______ #38 _____ #39_____
Total Number of CDs Ordered: __________x $150.00 = $________
Custom CDs Ordered: _________________x $250.00 = $________Shipping and Handling ($7.00 US, $12.00 Overseas) $________
Total Cost of Order $________
Please print clearly:
Name: _______________________________________Address:________________________________________
City: ___________________, State______ Zip:______
Telephone # _____________________________________
Credit Card # ____________________________ expires _________ (circle one) VISA / MCOptimal Life Center
19-925 Lawson Road
London, ON N6G 4X3
Fax 519-471-6234