MAIL ORDER FORM
Mail this form with a check
or money order to: Elise
Browning Miller
PO Box 60746
Palo Alto, CA 94306
(650) 493-1254 / info@ebmyoga.com
| SHIP TO: (Please Print) | |||
| NAME: | ________________________ |
||
| ADDRESS: | ________________________ |
||
________________________ |
|||
| CITY: | ________________________ |
||
| STATE: |
_____ |
ZIP: | ___________ |
Yoga Poses For Scoliosis
ORDER NOW !
This booklet shows
sequential poses especially
designed by Elise for scoliosis
| To better serve you, include
your phone number and email address: |
|
| Daytime phone | __________________ |
| Evening phone | __________________ |
| E-mail address | __________________ |
| HOW MANY | _____ | x $18.00 each | _________ |
| SALES TAX: add 8.25% (CA only) | _________ | ||
| SHIPPING & HANDLING 1 - 2: add $3.60 3 or more: call for S/H Charge |
_________ | ||
| TOTAL AMOUNT | _________ | ||