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Order Form:-

Name:_________________ Ship To Address:______________________

City:______________________ State:______

Zip:________

Qty:____The Nature of Auras - Paperback @$10.00: Make out check to Larry Borth

Qty:____Labyrinth: 19"; colored labyrinth on cream tag board @$19.95: Make out check to The Institute of Self Awareness

Qty:____Labyrinth: Gift Card: envelope and pointer included. A clever idea that will surprise and help one find ease and relaxation @ $5.00: Make out check to The Institute of Self Awareness

____ Free CD of Testimonials (1 per house hold)

Include $3.95 S&H per item, Priority Mail: Add $1.50 to postage

(For gift card shipping, handeling and mailing is included)

Payment: Check or Money Order (Cannot accept Visa/MC)

Mail to: The Institute of Self Awareness
9600 W. Melvina
Milwaukee, WI 53222