Fax In Order Form For Guided Meditation Cds

Fax or Mail-In Order Form

Please Note: We cannot ship to P.O. Boxes ~ and shipping charges below apply to the U.S. only. We are currently only accepting orders in the U.S. Please allow 8-12 business days of transit time for shipping by USPS Priority Mail. Please read our Policies & Procedures.

Fax Orders to: (print and fax this form)

Attn: Imadulation® Order Department

Fax # (972) 248-0812

Your information will be secure, kept confidential, and will not be viewed by any unauthorized personnel.

Mail Orders to: (print and mail this form)

Attn: Imadulation Order Department

P.O. Box 796697

Dallas, Texas 75379

Quantity	Product Description	Price (each)	Extended Total
______	____________________________________________	$______	$_______________
______	____________________________________________	$______	$_______________
______	____________________________________________	$______	$_______________
______	____________________________________________	$______	$_______________
______	____________________________________________	$______	$_______________
		Subtotal	$_______________
	(If you live in TEXAS only, please add 8.25% sales tax)	Tax Total	$_______________
	Free USPS Shipping on orders over $50.00 (before tax calculation)
please one	___Free USPS Shipping (my order before tax is over $50.00) ___Ground (priority mail for orders under $50.00) = $8.00 ___2nd Day = $13.00 ___Next Day = $33.00	Shipping	$_______________
		Total	$_______________

Shipping Address (if different from Billing Address)

Comments / More Information

________________________________________________________________________________________________

Billing Address on Credit Card

Name: ____________________________________________________________________

Company: _________________________________________________________________

Email: ____________________________________________________________________

Address 1: ________________________________________________________________

Address 2: ________________________________________________________________

City: _____________________________________________________________________

State/Province: ____________________________________________________________

Zip Code: _________________________________________________________________

Phone Number: ____________________________________________________________

Country: __________________________________________________________________

Select Payment Type: _____ Master Card _____ Visa _____ Check (mail in)

Card Number: ______________________________________________________________

Card Verification Value (CVV2 Code): __________________________________________

Name as it appears On Card: _________________________________________________

Company: ________________________________________________________________

Expiration Date: ___________________________________________________________