Order form for "Mindfulness and the Christian Life,"
an Interview with Shinzen Young

  
 

Please print the form and fill in the information. Mail the completed form, along with your check for the full amount, to:

Axis Terrae Communications
122 Mallard Avenue
Goleta, California 93117

Make your check payable to Axis Terrae.

  
 

How to calculate the amount to send: For EACH copy you order, the price is:

$16.50 for the DVD. If you live in California, add $1.28 for sales tax.
$14.00 for the Audio CD. If you live in California, add $1.09 for sales tax.
$23.00 for the Combination Package: DVD and Audio CD. If you live in California, add $1.79 for sales tax.

--------(shipping charges -- below -- apply to your total order, not to each individual copy)-------------
For shipment within the USA, add $5.00  For shipment to Canada, add $8.75
For shipment to any other country, add $11.50

PLEASE PRINT CLEARLY

Please send me _____copies of the "Mindfulness and the Christian Life" DVD.

Please send me _____copies of the "Mindfulness and the Christian Life"Audio CD.

Please send me _____copies of the "Mindfulness and the Christian Life" Combination Package
(combination package includes DVD and Audio CD) .

Name: _______________________________________________________________________

Address: _____________________________________________________________________

City, State, ZIP: _______________________________________________________________

Phone: ____________________

Email: ___________________________________________

I am enclosing my check for the full amount due. (See the "How to calculate..." instructions, above.)