PRINT AND MAIL THIS FORM

with your check or money order

payable to "David Kearney OMD".

to:

OCEAN HARMONIES DREAMING

c/o Dr. David Kearney
1821 Wilshire Blvd. Suite 610
Santa Monica, CA 90403

 

Quantity of Tapes You Want_____________________________#_____________

Cost US$25.00 per tape_____________________________$___________

Add 8.25% state sales tax for California orders _________$___________

Add US$3.20 per tape for shipping in U.S.A___________$___________

Add US$18.60 per tape for international orders_________$___________

YOUR TOTAL_______________________________________$ _____________

PLEASE FILL IN ADDRESS YOU WANT YOUR ORDER SHIPPED TO!

NAME:

STREET or PO BOX:

CITY and STATE:

ZIPCODE:

 

Thanks for your order!