ORDER FORM

I would like to order:

ItemQuantity  
 
The Color of Her Tears - CD____________   X $12.00 = ______________
Spare Change - CD____________   X $10.99 = ______________
Brooklyn To Maui - CD____________   X $12.00 = ______________
Healing The Child Within - CD____________   X $12.00 = ______________
The Woods Deep Inside Me - CD____________   X $13.00 = ______________
Lavender Muse - Book____________   X $10.95 = ______________
11 Day Prosperity Program - Book____________   X $11.00 = ______________
The Woods Deep Inside Me - Book____________   X $10.00 = ______________
Walking Through My Fire - Book____________   X $15.00 = ______________
Climbing A Rainbow Of Dreams - Book____________   X $10.00 = ______________
Walking In Sappho's Garden - Book____________   X $10.00 = ______________
Sub-Total = ______________
US = $4.20  
Canada = $4.70  
International = $5.70  
Shipping = ______________
Total amount enclosed = ______________

Please ship order to:

Name:__________________________________
Street:__________________________________
City:__________________________________
State:__________________________________
Zip:__________________________________
Country:__________________________________

Please include a check or money order (in US funds) and mail to:

Wholistically Alive, Inc.
Ayin Adams
P.O. Box 1203
Wailuku, HI 96793