Crystal Healing Energy -- Order Form

U. S. Mail-- Order Form

If you would prefer to place your product order using your personal or business check, the form below is provided for your convenience.

2) Fill in the required information.

3) Include your check for the appropriate amount.

4) Make your check Payable to: The Life Center.

5) Mail it to:

                     The Life Center
                     8335 Winnetka Ave. # 107
                    Canoga Park, CA   91306

6) Because it's required of us:
We will hold your order until your check clears.

The Life Center 8335 Winnetka Ave. # 107 Canoga Park, CA 91306

Item Description	Unit Price	Quantity	Subtotal
Silver Medallion, Small	$160
Silver Medallion, Medium	$180
Silver Medallion, Large	$190
14 K Gold Medallion	$1500
18 K Gold Medallion	$2000
24 K Gold Medallion	$2500
1" mandala 10 pack	$12
3" mandala 4 pack	$14
6" mandala 2 pack	$12
Mega- mandala	$22
Total Order
Shipping and Insurance			We pay for Ship. & Ins.
California Residents add 8.25% Sales Tax
Total Payment Enclosed