make check payable to Holly Beatie or High Octave Healing and send to:

P.O. Box 4275, Truckee, CA 96160 530/550-0885 Fax 530/550-7537

Name_____________________________________________________________________________________

Address ___________________________________________________________________________________

City/State/Zip _______________________________________________ Phone __________________________

( ) check/MO enclosed -------------------- ( ) VISA -------------------- ( ) MC

Name on Card______________________________ Card # ________________________________ Exp: ______

Signature:__________________________________________ Date: ____________________________________

Quantity -------- Name of Product ------------------------------ Price -------------- Total --------------

______ ________________________________________ _____________ ________________

______ ________________________________________ _____________ ________________

______ ________________________________________ _____________ ________________

______ ________________________________________ _____________ ________________

______ ________________________________________ _____________ ________________

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-----------------------------------------------------------------------Sub-Total _____________________

---------------------Discount: 5% if over $100 and paying w. check/MO _____________________

------------------------------------------- Tax (CA 8.875%) Amt X .08875 ______________________

----------------------------------------Shipping and Handling (see below) ______________________

---------------------------------------------------------------------- TOTAL ________________________

S&H:$5-$40 =$6.95 / $41-$80 =$9.50 / $81-$120 =$12 / $121-$180 =$14 / $180+ free

International orders will be charged additional shipping. Prices may change without notice. Please make checks payable to Holly Beatie or High Octave Healing. We will replace products in the event of shipping error, defect, or damage. Returns of unopened product accepted within 15 days of receipt. A 20% restocking fee will be assessed on all returned merchandise. Gift Baskets available. We can ship to third party. Please call. 866/898-2660