Shopping & Credit Card Form

Shopping & Credit Card Form

Instructions: Complete this form and submit it. After submission, conveniently pay using your Credit Card by selecting the desired item(s) and complete the purchase thru Google CheckOut. We will process your order after payment has been received.

Please allow for 2 week delivery time on all orders. Thank you!

THAI MATS: $265.00
(includes shipping and handling)

Full Size, all cotton Futon 3 inches thick

Quality DVDs currently available:

$37 plus $4 s&h
Traditional Thai-Yoga Bodywork Nuad Borarn
(96 Mins full sequence)

$65 plus $4 s&h
Vedic Massage-Thai on the Table
(3.5 hours 160 positions demonstrated)

Courses

Please enter the required information below, then select the Course Tuition for the course you are enrolling on the next page.

Important Notice:
Your products will be ship ONLY and after your payment has been received and processed. Thank you!

*Name:

*E-mail:

Telephone:

*Address 1:

Address 2:

*City:

*State:

*Zip:

Delivery Options

Check the box to ship to same address as above. Otherwise, ship to:

Address 1:

Address 2:

City:

State:

Zip:

Special Instructions Box

Note: Fields with an * are required.



	THAI MATS: $265.00 (includes shipping and handling)
	Full Size, all cotton Futon 3 inches thick

	Quality DVDs currently available:
$37 plus $4 s&h	Traditional Thai-Yoga Bodywork Nuad Borarn (96 Mins full sequence)
$65 plus $4 s&h	Vedic Massage-Thai on the Table (3.5 hours 160 positions demonstrated)

	Courses
	Please enter the required information below, then select the Course Tuition for the course you are enrolling on the next page.

Important Notice: Your products will be ship ONLY and after your payment has been received and processed. Thank you!

*Name:
*E-mail:
Telephone:

*Address 1:
Address 2:
*City:
*State:
*Zip:

	Delivery Options
	Check the box to ship to same address as above. Otherwise, ship to:
Address 1:
Address 2:
City:
State:
Zip:

	Special Instructions Box


	Note: Fields with an * are required.