Awakening Prologue Printable Order Form - Mail or Fax

Yes! I want to live longer, lower my stress levels, boost my mind-power, and improve my health and wellbeing. Please send the Awakening Prologue.

Price in Canadian Funds is $252 plus $9 s&h plus $18.27 GST (and $18.90 PST in B.C.) for a total of $279.27 CDN ($298.17 in B.C.) - Go here for U.S. and Interantional Orders.

Please include all the FREE bonuses worth $173.65 and the Special Research Report, worth $15. I understand that I am covered by your one-year moneyback guarantee. (The FREE bonuses are mine to keep even if I ask for a refund.) I can expect delivery within 3 to 10 days.
 

First Name: ______________________

Last Name: _______________________

Address: ______________________________________________________________

City: ____________________________

Province: _________________________

Postal Code: ______________________

E-Mail: __________________________

Daytime Phone: (____)______________

Evening Phone: (____)_______________

Fax: (____)_______________________

Date: ____________________________

Tapes/CDs Option: Please Tick One
Tape format, or CD format

Split Payment Option (Credit Cards only)
Tick this box only if
(a) you are paying only by credit card, and
(b) you wish to split your order into
three equal monthly payments of
CAN  $87.33 each CDN + taxes
includes admin fee
(shipping charges of $9 plus GST will
be added to first payment)

Fax Toll-Free 1-877-642-0656
or... Mail To:
Magical Mind Enterprises Ltd.
P.O. Box 972, Sooke, BC
V0S 1N0, Canada

Payment Details:
(Please make cheques and money orders
payable to Magical Mind Enterprises Ltd.)

Visa MasterCard
Cheque Money Order

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Expiry Date: ____/____
Name on Card: _____________________

Signature: __________________________

Call Toll-Free 1-866-642-0655

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