Niara Healing Arts Productions
PO Box 480 Modena, NY 12548
Phone: 845-256-5430
Ship To:
Company or Institution ________________________Attention __________
Address ______________________________________________________
City_____________________ State________________ Zip Code_________
Contact_________________________ Phone ________________________
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Select an option: 12 units @ $25/each [$300] or 20 units @ $20/each [$400]
Shipping and Handling: $10.00/12 or $15.00/20
Item Number NHA002DVD
Quantity _____________ Units
Amount Enclosed _____________
Subtotal _____________
Shipping/Handling _____________
8.25% NY sales tax _____________ (applicable for purchases in NY only)
Total _____________
Check Number _____________ Credit Card _______ Card Number ________________________
Expires _______ Last three numbers on back of card ______
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