Relaxation - Stress Reduction - Water - DVD - Video - CD - Meditation

Order Form

Qty	Item		Price ea.	Total
	Peaceful Waters DVD (full screen, standard def)		$19.95
	Peaceful Waters CD		$9.95
Order the DVD and the CD is half-price			discount
	total items	(Orders shipped USPS Priority Mail)	Subtotal:
(orders over $100, free shipping)			Shipping:
(Note: WA residents add 8.7% sales tax)
			Total:

Special Offer: (Order the DVD and the CD is half-price)

Name: *	(first, last)
Address:*
(optional line 2)
City:*
State:*
Zip or Postal Code:*
If you reside outside the U.S. or Canada, please enter your country:
Phone Number:*
EMail Address:*

* indicates required field

Do Not Print This Page!
(you must validate your form to calculate
the shipping & possible sales tax)

Validate Your
Order Form.