| Order Form |
| To order, fill out this form and mail it to Inner Coaching at the address below or call us at 920-262-0439, or fax it to 920-261-8801. |
| QTY. | ITEM | UNIT PRICE | TOTAL |
| _____ | Ready... Set... R.E.L.A.X. | $23.95 | _________ |
| _____ | Ready... Set... Release Tape/CD | $10.95/$15.95 | _________ |
| _____ | Healing Images for Children | $24.95 | _________ |
| _____ | Healing Images for Children CD | $15.95 | _________ |
| _____ | Healing Images Activity Book | $12.95 | _________ |
| _____ | Special Package: Above 3 items | $47.95 | _________ |
| _____ | Libro de Actividades | $7.95 | _________ |
| _____ | Healing Images Relaxation Kit (select version) ___ Children's ___ teen's |
$34.95 | _________ |
| _____ | Healing Images Note Cards | $12.00 | _________ |
| _____ | Comforting a Child During Medical Care | Pack 5 - $21.95 Pack 25 - $79.95 | _________ |
| _____ | Music (see selections below) | $15.95 | _________ |
| _____ | ________________________ | ________ | _________ |
| _____ | ________________________ | ________ | _________ |
| _____ | Relaxation And Success Tape/CD | $10.95/$12.95 | _________ |
| _____ | The Kids Wellness Guide | $28.50 | _________ |
| SUBTOTAL | _________ |
| WISCONSIN RESIDENTS ADD 5.5% SALES TAX | _________ |
|
Shipping/Handling |
_________ |
|
Total |
_________ |
| Music Selections can be
ordered above. Pianoscapes (Jones) - Soothing Piano Solos. Pachelbel w/ Ocean (Liv & Let Liv) - Cannon D soundscapes. Bach Forever by the Sea (Gibson) - Ten classics with sounds of the sea. The Fairy Ring (Rowland) - Music on piano/synthesizer |
| You may pay by check, school/institution PO or VISA/MC. If paying by credit card, please include: CC#___________________________________________ Exp. Date ___________ |
| Name ________________________________________ |
| Address ______________________________________ |
| City/State/ZIP _________________________________ |
| Phone Number ________________________________ |
| Email _______________________________________ |
| Send to: Inner Coaching,
1108 Western Ave.,
Watertown, WI 53094 Tele: 920-262-0439 Fax: 920-261-8801 e-mail: kids@readysetrelax.com |