ORDER FORM

Please fill out this order form, print it and send it via the Postal Service, along with your payment in the form of a personal check, US Travelers Check, or US Postal Money Order to:

The Center for Inner Peace
1513 Pinewood Lane
New London, WI  54961 

SHIPPING INFORMATION

Name

  

Address Line #1

  

Address Line #2

  

City, State

  

Zip / Postal Code

  

Country

  

Phone Number

  

e-mail address

  

 

YOUR ORDER

Item

Quantity

Price
     
     
     
     
     
     
     

Shipping and Handling

  

$3.00

TOTAL 

    

Please remember to enclose full payment with this order form.
Please allow 7-10 days for delivery.
Please email frfeider@juno.com with any questions or concerns regarding your order.

Thank you for your order.  May God continue to bless you abundantly!