| Print-out
& mail order form
Certified
bank check or money order 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 ____
Volume II Tai Chi Form Instruction
Four VHS tapes (440 min.) $140.00 - Quantity ____
Volume I & Volume II
Five VHS tapes (551 min.) $178.00 - Quantity ____
Note:
NY State residents add 8% state tax.
SHIPPING
COSTS
1 TAPE Within USA:
• USPS insured media mail $4.20
• USPS insured priority mail $6.50
• Shipping to Canada UPS standard insured $8.00
4 & 5 TAPEs Within USA
• USPS insured media mail $6.50
• USPS insured priority mail $14.00
• Shipping to Canada UPS standard insured $10.50
For shipping to all other countries, please contact
us by e-mail.
_________ 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
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