|
Mail or Fax Your Order To: Solexus
Health Systems |
| Name: | Company(optional): | |
| Address: | Email: | |
| City: | Country: | |
| State: | Zip: |
Phone: |
| ITEM
N0. | ITEM
DESCRIPTION | QTY. |
PRICE |
TOTAL |
| Level
1 | "Shinka"
- Guided Meditation System |
$47.00 | ||
| COMMENTS: Once payment is received we will send you the download link via the email address you specify above. |
Subtotal:
| |||
|
Shipping: |
Download | |||
| Balance
Due: | ||||
| Credit
Card Used | You have authorized Solexus Health Systems® to charge your credit card for the item(s) listed above, (shipping included). |
 VISA |
Card Number: _______________________________________ |
| MasterCard |
Expiration
Date: _______________________________________ |
| American
Express | Signature:
______________________________________________ |
| Discover |
Thank
you for ordering with us! Your purchase will appear on your credit card statement as Solexus Health Systems. |