PRE-MADE ORDER FORM
Unconditional 30 day money back guarantee. 1 year warranty. Shipped discreet & tamper evident.

MAIL ORDER TO
 James Schmelter
24123 Peachland Blvd C4 #103
Port Charlotte FL 33954 USA
YOUR SHIPPING ADDRESS (please type or print clearly)
Your name_________________________________ Date___________
Address__________________________________________________
City, State, Zip Code (or Country)_______________________________

Day Phone_________________  Evening Phone__________________
Your e-mail___________________________________
Where did you hear of me?_______________________
Please check here if you have ordered from me before.
PRICES

COMPLETE 4 STEP SYSTEM on 4 CDs or 4 cassettes.
Regular titles $138.   Combined titles $198.

ANY SINGLE RECORDING on 1 CD or 1 cassette.
Regular title $38.   Combined title $58.


TITLE:_________________________________________
SELECT: ___THE COMPLETE 4 STEP SYSTEM
and/or ___Clearing  ___Hypnotic  ___Subliminal  ___Sleep
SELECT: ___CD  ___cassette      COST $______
TITLE:_________________________________________
SELECT: ___THE COMPLETE 4 STEP SYSTEM
and/or ___Clearing  ___Hypnotic  ___Subliminal  ___Sleep
SELECT: ___CD  ___cassette      COST $______
TITLE:_________________________________________
SELECT: ___THE COMPLETE 4 STEP SYSTEM
and/or ___Clearing  ___Hypnotic  ___Subliminal  ___Sleep
SELECT: ___CD  ___cassette      COST $______

$________TOTAL COST OF RECORDINGS SELECTED ABOVE

SHIPPING/HANDLING SELECT: ___one week $20   ___two weeks $10
   ___three weeks $5   ___ship to outside the US $20
 
$________optional INSURANCE (complete delivery coverage) add $5
 
$________TOTAL, no COD, USD$ only (thank you)

SELECT
___cash, check (personal check please allow 3 extra days) or money order
payable to: James Schmelter.

___PayPal please let me know when you have made payment.
To pay by PayPal place order then log onto your PayPal account.
Use the "Send Money" feature. Enter the total US$ amount.
Use  jhs@hypnotictapes.com for the PayPal e-mail recipient.

Credit or debit card number___________________________

expires (mm/yy)_______ 3-4 number CVV2 code_______