Mail order form.  You can use this form to pay by check or money order.  Print out the form, PLEASE print clearly, enclose check or money order payable to Maryann Kaczmarek

Your Name___________________________________________________________

 

Your Address_________________________________________________________

 

City, State, ZIP________________________________________________________

 

Your Phone Number including area code ____________________________________

 

Your email address_____________________________________________________

 

Items you are ordering:

Description
(Title of CD or Series)
Quantity Cost Per Unit Total Cost
       
       
       
       
       
       
       
       
       
TOTAL      

See site for CD and Series prices

Shipping & Handling:

  • Shipping and Handling Rates:  Effective 4/5/04 until  further notice.  Revised May 2, 2005.
  • All Monroe Institute Products shipped US Priority Mail with delivery confirmation. 
  • S&H $10-$49.99 your total plus $5.
  • S&H $49.99 and above S&H is an additional $10.
  • $100 or more $12 S&H US Residents ONLY. 
  • Non US residents add $35 S&H.