Betty's EFT and Hypnotherapy Store

MASTERCARD AND VISA CREDIT CARD ORDERS
(NOT USING PAYPAL):

After completing form below (you can enter the information right on your screen - with the exception of your signature), just print and mail with to the address below. Remember this form is to be printed and then mailed. It is not intended to be submitted online:

Betty Moore-Hafter
Rising Sun Healing Center
35 King Street, Suite 7
Burlington, Vermont 05401


First Name      MI      Last Name   

Please ship to the following address:

Street      City   

State      Zip Code      Country   

Telephone   Email   


CREDIT CARD INFORMATION:

Visa         MasterCard
Credit card number:    

Expiration date:       

Three digit security code (found on the back of the card near the signature space, the last three digits)    


Billing address (if different from shipping address). Make sure the US zipcode is included:



Signature (enter after form is printed):   _________________________________________




ITEM 1:  "Tapping Your Amazing Potential with EFT" (hardcopy)

Quantity    $35.00 plus shipping (per manual):
        - $4.00 shipping within USA
        - $6.00 shipping to Canada
        - $8.00 shipping for other International orders
$   

ITEM 2:  "Tapping Your Amazing Potential with EFT" (e-book)

Quantity    $28.00 (includes free "Teaching Tools" handout) $   

ITEM 3:  "Deep Relaxation"

Quantity    $14.00 plus $2.00 shipping (per CD) $   

ITEM 4:  "Easy and Restful Sleep"

Quantity    $20.00 plus $2.00 shipping (per CD) $   

ITEM 5:  "Empowering Your Goals with EFT and Hypnotherapy"

Quantity    $20.00 plus $2.00 shipping (per CD) $   

ITEM 6:  "Breaking the Cycle of Self-Created Stress"

Quantity    $20.00 plus $2.00 shipping (per CD) $   

ITEM 7:  "Special Set" (includes items 3, 4, 5 above)

Quantity    $50.00 plus $3.00 shipping (per CD set) $   

SUBTOTAL $   

Vermont residents add 6% sales tax. $   

GRAND TOTAL $   


REMEMBER TO KEEP A COPY OF THIS FORM FOR YOUR RECORDS!


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