Postal Mail Order Form

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Print and send this form to:
The Life Center, 8335 Winnetka Ave.  #107,  Canoga Park,  CA  91306

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Please send me the  online e-book version of:

Book One:    (_____)     A Blissful Yoni Dance  --  E Book  --  
                                             Volume One --
                                            "Close Encounters of the Best Kind"   
  
                                                             Item No. 1111      Donation =    $12.00

Book Two:    ( _____)   A Blissful Yoni Dance  --  E Book  - -  
                                            Volume Two -- "The Gift"
                                                             Item No. 1122      Donation =    $14.00

Both Books:  ( _____)  A Blissful Yoni Dance  --  E Books  --  
                                            
Volume one and two offered together
                                                             Item No. 1133      Donation =    $20.00

I am enclosing a donation of $ __________________
                                         Make checks payable to “The Life Center”

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Please print Clearly

Your Name:_______________________________________________

Mailing Address:___________________________________________

City:_____________________ State:__________  Zip:___________

E-mail Address: (required) __________________________________

Phone Number:  (required) __________________________________

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Print and send this form to:
The Life Center, 8335 Winnetka Ave.  #107,  Canoga Park,  CA  91306

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       Home Page          Site Map              Contact us             Links to TLC  Sites  

The Yoni Dance

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Copyright © 2001 --  Revisions Copyright 2001-2007     
Robert E. Coté    The Life Center

All rights reserved.     See:  Terms of Use

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55  ---  Order Book  ---  Mail Return Form       11 Sep 03

http://www.yonidance.net/55-book-mail-order-form.html

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