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Mail or Fax Your Order To: Solexus
Health Systems |
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Phone: |
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ITEM
N0.
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ITEM
DESCRIPTION
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QTY.
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PRICE
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TOTAL
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Level
1
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"Shinka"
- Guided Meditation System
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$49.95
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| COMMENTS: To pay in four easy installments of just $34.75 billed to your credit card each month, simply enter the amount of $34.75 in the "Subtotal" column. Next, enter the amount of $104.25 in the "Balance Due" column to the right. The Shipping cost of $12.00 is included in the $139.00 Price. |
Subtotal:
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Shipping:
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Included
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Balance
Due:
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Credit
Card Used
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You have authorized Solexus Health Systems® to charge your credit card for the item(s) listed above, (shipping included). |
 VISA |
Card Number: _______________________________________ |
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MasterCard |
Expiration
Date: _______________________________________
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American
Express |
Signature:
______________________________________________
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Discover |
Thank
you for ordering with us! Your purchase will appear
on your credit card statement as Solexus Health Systems. |