ICC ORDER FORM
Please note: If you have any reservations about ordering online then you may place a phone order at (520) 219-7009 or contact us at info@ConsciousChange.org .

Select Products To Order

Partnering with Spirit: Homer's Journey [Vol. 1] (book $18.95 each)
Soul Journeys [Vol. 2] (book $18.95 each)
Rainbow Sun Qigong (DVD $39.95 each)
Qigong for Seniors & Adults (DVD $39.95 each)
Qigong for Seniors & Adults (VHS video $29.95 each)
Qigong for Kids (DVD $39.95 each)
Conscious Manifesting (DVD $39.95 each)
Inward Harmony by Marcey Hamm (music CD 16.95 each)
StemEnhance ($48.00 per bottle of 60)
   StemTech Info Pack ($0.00)
       501c3 tax deductible donations:
                   Institute for Conscious Change $
                   Tibetan Multimedia Fund $

Shipping
U.S.A.
All items shipped Media Mail in the U.S.A. (Call for other options.)
for 1 or 2 items $4.95
for 3 to 5 items $5.95
for 6 to 8 items $6.95
for 9 or more      $7.95

International
Shipping for Canadian destinations is $1 more than the prices listed above. Other international orders are air shipped per our cost of shipping. Your order total will reflect adjustment.

TOTAL:


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(The last 3 digit number
from the back of your credit card.)
 
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e-mail Address:   *
Name:   *
Address:  
(sorry, we can not ship to PO Boxes)
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State or Province:   *
Zip or Postal Code:   *
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Billing Address:  
(if different from address above)
Telephone:   *


Thanks for your order! It will be processed and sent out
with wishes that you have a magical and wonder-filled day.