Order Form
| Please
print and mail or fax the completed form with credit card info or with cheque payable to EnerChi Health Inc. to: EnerChi Health Inc. PO Box 74101 RPO Strathcona Calgary, AB T3H 3B6 Fax: 1-403-216-7061 (24 hrs a day) Phone: Within Canada 1-866-251-0677 (8 am - 4 pm Mountain Time, Mon-Fri) Outside of Canada 403-216-7060 |
Shipping &
Handling Charges We accept cheque,
VISA, or Mastercard |
| Billing Information | Shipping Address/If Different Than Billing |
|
Name |
Name |
| Address |
Street Address |
| City/State | City/State |
| Country | Country |
| Postal Code/Zip Code | Postal Code/Zip Code |
| Telephone | Telephone |
| Method
of Payment: Check One Cheque , Money Order, Mastercard, Visa |
Credit Card # |
| Signature of Cardholder: | Expiration Date: |
| Title | Price | Quantity | Total |
| Affirmations CD | $23.98 | $ | |
| Arthritis/Lupus tape | $18.98 | $ | |
| Cancer CD | $23.98 | $ | |
| Chemotherapy CD | $24.98 | $ | |
| Depression CD | $23.98 | $ | |
| Diabetes CD | $24.98 | $ | |
| Fibromyalgia & Chronic Fatigue CD | $24.98 | $ | |
| General Wellness CD | $23.98 | $ | |
| Headaches 2-tape set | $24.98 | $ | |
| Healthful Sleep CD | $23.98 | $ | |
| Healthy Heart CD | $23.98 | $ | |
| Menopause CD | $24.98 | $ | |
| Multiple Sclerosis tape | $18.98 | $ | |
| Pain CD | $23.98 | $ | |
| Relaxation & Wellness CD | $24.98 | $ | |
| Surgery CD Set | $25.98 | $ | |
| Stress CD | $25.98 | $ | |
| Weight Loss CD | $23.98 | $ | |
| subtotal | $ | ||
| In Canada GST 7% | $ | ||
| shipping | $ | ||
| Total $cdn | $ |