Printout & mail order form

Certified bank check or money order (US dollar only).
Sorry, no personal checks.

Name___________________________________________________

Address_________________________________________________

________________________________________________________

________________________________________________________


City____________________________________________________

Province________________________________________________

Postal Zone________________________________

Country___________________________________

E-Mail_____________________________________


Please check-mark: tape format, item and quantity

Tape Format: NTSC    PAL (if you don't know which format please e-mail me

Volume I Tai Chi Overview
One VHS tape (111 min.) $42.00 - Quantity ____
One NTSC DVD (111 min.) $42.00 - Quantity ____

Volume II Tai Chi Form Instruction
Four VHS tapes (440 min.) $140.00 - Quantity ____
Four NTSC DVDs (440 min.) $140.00 - Quantity ____

Volume I & Volume II
Five VHS tapes (551 min.) $178.00 - Quantity ____
Five NTSC DVDs (551 min.) $178.00 - Quantity ____

SHIPPING COSTS
• Vol. I Tai Chi Overview, 1 video tape or DVD: $8
• Vol. II Tai Chi Form Instruction, 4 video tapes or DVDs: $19
• Vol. I & Vol. II, 5 video tapes or DVDs: $23

USPS Airmail Letter Post is used for delivery.


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Please make certified bank check or money order(US dollars only) payable to Synerchi Publishing

Mail to:
Synerchi Publishing
PO Box 165
Penfield, NY 14526
USA