Order Form for:



Ancient Healing Sounds Order Form

5th Chakra Guided Imagery tape

Side B is instrumental music for relaxation

Tim Baum, RN, Eric Miller, Ph.D. MT-BC, BCIAC, Lynn Miller, CMT
610-933-8145

Tapes are $10. ea + 2.50 shipping and handling ea..


ORDER FORM

Please print out, complete and return with payment to:
Dr. Eric Miller
Box 1
Mont Clare, PA 19453

Name: ____________________________ Phone: _____________ FAX: _________
Address: __________________________
City: __________________________ State: _________ Zip: ___________
E-Mail: __________________________________________________

Number of cassettes ordered: __ X 12.50 = ________ total enclosed

Thanks for your order!


You can pay via visa/MC or direct debit via PayPal by clicking below, be sure to send me your shipping address and order info in the message box!

I accept payment through X.com's PayPal!


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