Mail Order Form

Order Form for Jewelry, Pet Jewelry
Tarot Readings and DVDs

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:				City:
State:		Postal code:			Country:

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:

DVD – Bellydance — $29.99 DVD – Yoga – Workout I — $29.99 DVD – Yoga – Workout II — $29.99 DVD – Yoga – Workout III — $29.99 DVD – Floor Workout — $29.99 DVD – Low-Impact Workout — $29.99 Energy Jewelry – Love Bracelet — $60.00 Energy Jewelry – Love Earrings — $80.00 Energy Jewelry – Success Bracelet — $60.00 Energy Jewelry – Success Earrings — $80.00 Energy Jewelry – Beauty Bracelet — $60.00 Energy Jewelry – Beauty Earrings — $80.00 Energy Jewelry – Energy Bracelet — $60.00 Energy Jewelry – Energy Earrings — $80.00 Energy Jewelry – Health Bracelet — $60.00 Energy Jewelry – Health Earrings — $80.00 Energy Jewelry – Protection Bracelet — $60.00 Energy Jewelry – Protection Earrings — $80.00 God Necklace – Dionysys — $80.00 God Necklace – Apollo — $80.00 God Necklace – Zeus — $80.00 Goddess Necklace – Aphrodite — $80.00 Goddess Necklace – Ariadne — $80.00 Goddess Necklace – Artemis — $80.00 Goddess Necklace – Athena — $80.00 Goddess Necklace – Hestia — $80.00 Goddess Necklace – Juno — $80.00 Goddess Necklace – Persephone — $80.00 Goddess Necklace – Demeter — $80.00 Small Pet Jewelry – Health – Goldtone clasp — $30.00 Small Pet Jewelry – Health – Silvertone clasp — $30.00 Small Pet Jewelry – Protection – Goldtone clasp — $30.00 Small Pet Jewelry – Protection – Silvertone clasp — $30.00 Small Pet Jewelry – Happiness – Goldtone clasp — $30.00 Small Pet Jewelry – Happiness – Silvertone clasp — $30.00 Big Pet Jewelry – Health – Goldtone clasp — $40.00 Big Pet Jewelry – Health – Silvertone clasp — $40.00 Big Pet Jewelry – Protection – Goldtone clasp — $40.00 Big Pet Jewelry – Protection – Silvertone clasp — $40.00 Big Pet Jewelry – Happiness – Goldtone clasp — $40.00 Big Pet Jewelry – Happiness – Silvertone clasp — $40.00 Tarot Readings — $80.00

Quan.	Item Name	Price
Merchandise Total Shipping & Handling Please add $5 for the first item and $1 for each additional item. All sales are final (no returns) on jewelry and DVDs. Shipping & Handling Subtotal NM delivery add 8.4375% Tax Orders outside of the US or Canada, add an additional $5. Total Enclosed

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

Thank you for your order!