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
                      
(Add 10% of Subtotal -- $2.00 Minimum) 

_________

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