Yoga for the Special Child Book Order Form

Please fill out all fields on this form.
If you have a special code, be sure to put it in the "Code" field. If you do not have a code, leave this field blank.

The cost for each copy of Yoga for the Special Child is $19.95. There is also a shipping charge of $5.00 for the first book and $1.50 for each additional book ordered. Put the number of books you are ordering in the "Quantity" field.

Note: To facilitate the processing of this form, please capitalize the first letter of all proper nouns i.e. your Name, City, State and Country of residence.

First Name:
Last Name:
E-mail:
Address:
City:
State:
Country:
Zip/Postal Code:
Phone:
Quantity:
Card Type:	Note: We accept only Master Card or Visa.
Card Number:
Expires:

 

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