Order Form - MOVE OVER MAHARISHI

Print out or send following information
All information will be confidential

Price: $11.95

Special Offer $10.95 with this form Plus $1.75 Shipping & Handling

Payment: Check __ Money Order__ Credit Card__

5 books or more $8.50 each (through this website only, NOT valid through Amazon.com)
Plus 1.00 shipping and handling per book.

Quantity_________ Amount enclosed___________ Date_______________

Name_______________________________________________________

Address___________________________________________________________________

Town_________________________State_______ZIP______________________________

Phone number (_____________)__________________________________
Send check or money order to:

Dee Landerman
M.O.M.
18 Table Rock Drive
Holiday Island AR 72631

call 1(479) 253-8264 or include on form

shipped immediately after payment is confirmed