MarianneMichaels.com Mail Order Form

To order, mail the completed form along with a check or money order to:

Marianne Michaels
P.O. Box 21533
Lehigh Valley, PA 18002
610 868-4017

You can fill this form out online prior to printing it. In most modern browsers, the form will calculate the dollar totals for you after you have changed a quantity or the state to which the order will be shipped or when you click on the Calculate Totals button. Tax and Order Total cannot be computed until you have specified your state. Orders shipped to a Pennsylvania destination are assessed a 6% state sales tax.

Ordered By

First Name
Last Name
Address
Address2
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Ship To - if different from Ordered By

First Name
Last Name
Address
Address2
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Items

Qty Item Item Wt Item Price Total Price Total Wt

A Second Chance to Say Good-bye 8oz $13.95

White Light Meditation CD 2oz $14.00

Second Chance + Meditation CD 10oz $22.00

Transition: From The Way of the Soul 2oz $14.00

Shipping/Handling/Packaging

Weight Ounces			Add $
1oz	-	6oz	$1.50
7oz	-	13oz	$3.00
14oz	-	16oz	$4.80
17oz	-	32oz	$6.80
33oz	-	48oz	$8.75
49oz	-	176oz	$9.80
For larger orders or for destinations outside the US, please call.

Subtotal

PA
Residents
6% Tax

Shipping

Order Total