Fax/Mail Order Form
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ORDER TITLE ITEM PRICE QTY COST
ADD  SUB
   
Yoga for Gardeners DVD $24.95 $
   
R.S.I.? Rx: Yoga! Volumes 1-4 DVD DVD $34.95 $
   
R.S.I.? Rx: Yoga! Volume 1
Video Tape
$14.95 $
   
R.S.I.? Rx: Yoga! Volume 2
Video Tape
$14.95 $
   
R.S.I.? Rx: Yoga! Volume 3
Video Tape
$14.95 $
   
R.S.I.? Rx: Yoga! Volume 4
Video Tape
$14.95 $
   
R.S.I.? Rx: Yoga! Volumes 1-4 Video 4 Video
Tape Set
$34.95 $
   
Rx: Yoga! Audio Tapes Volumes 1 + 2 2 Audio
Tape Set
$11.55 $
TOTAL VOLUMES $
California residents: 8.00% sales tax will be added to your order.
 tax  $
Shipping: 1 unit $3.50 | 2-4 units $5.00 | 5-8 units $8.00 | add 0.75 per unit over 8
International orders add $6.00 (including Mexico and Canada)
 shipping  $
TOTAL CHARGES (in U.S. dollars only) $

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Note: Please review all charges and totals before submitting order.

Please make checks payable to:
Gail Dubinsky, M.D.
Rx: Yoga!
P.O. Box 1358
Sebastopol
CA 95473 USA

For further information or bulk orders:
707.829.7596 * fax: 707.829.7597

Prices are subject to change without notice. Please allow 1-2 weeks for domestic delivery.

Sorry, but I cannot provide medical advice outside of a formal office visit,
or referrals to other yoga teachers or health practitioners.

HOW TO ORDER
Fax/Mail Orders:

1. By using the convenient and buttons in the left column, your totals will be automatically calculated, including applicable taxes and shipping. To add a selection to your purchase list, simply click the button. To subtract selections use the button.

2. Fill in the shipping information completely; credit info if paying by credit card (don't forget to sign the form).

3. Print the order form using your browser's print function. Some systems will not print the form entries. In this case, please fill in the information as displayed in your browser.

4. You may fax the form to 707.829.7597 with your complete credit card information. Otherwise, please mail the form, along with your payment, to the address listed above. Please send check or money order for the full amount; do not send cash.

707.829.7596     dubinsky@rxyoga.com

©2006 GAIL DUBINSKY, M.D. - ALL RIGHTS RESERVED