Exercise is the Basis of Health, Strength and Beauty

Order Form for Jewelry, Pet Jewelry and Tarot Readings
You can either fill this out online, then print out,
or just print out and fill out the information by hand.

Mail this form with your check or money order to:
Tanya, PO Box 142, Tesuque, NM 87574

Please enter your name:
E-mail address:
Company Name:
Daytime Phone:
Street address:
Postal code:

Please enter the name of the product you wish to order and the price in the form below.
Please check the list below for reference in filling out the order form.
For more information:

Quan. Item Name Price
Merchandise Total

Shipping & Handling
Please add $5 for the first item and $1 for each additional item.

Shipping & Handling

NM delivery add 8.4375% Tax

Orders outside of the US or Canada, add an additional $5.
Total Enclosed

Thank you for your order!

Yoga Classes Personal Training Bellydancing Tarot Readings
Jewelry Pet Jewelry Goddess/God Jewelry Horse Goddess Order Form


Tanya / Goddess Power
PO Box 142
Tesuque, NM 87574
(505) 992-6832
or (623) 465-0507