Printout & mail order form

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

Name___________________________________________________

Address_________________________________________________

City_____________________________ State____  Zip__________

E-Mail_____________________________________


for Canadians

Province_____________________________

Postal Zone_____________________________


Please check-mark item and quantity

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

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

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

Note: NY State residents add 8.25% state tax.

SHIPPING COSTS
• Vol. I Tai Chi Overview, 1 video tape or DVD: $4
• Vol. II Tai Chi Form Instruction, 4 video tapes or DVDs: $9
• Vol. I & Vol. II, 5 video tapes or DVDs: $11

USA - US Post Office (USPS) priority mail with delivery confirmation is used for mailing within USA.
Canada - USPS Airmail Letter Post is used for delivery to Canada.

_________ Sub Total

_________ Tax (if NY State resident)

_________ Shipping

_________ TOTAL



Please make certified bank check or money order payable to Synerchi Publishing

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