Workshop Sign-up and Product Order Form

It is a good idea to include your email address
so that we can confirm your order.
STEP 1
STEP 2
STEP 3
Fill out the order form below
Print it out to paper
Fax to 613-392-9225
OR -- call 1-800-535-4999 and place your order in person.
First name
Last name
Company
Street
City
State/Prov.
Zip/Postal code
Country
E-mail
Phone Number
Workshop
 Cost Please Indicate Date and Location
Level One — Energy Link Healing $95.00
Level Two — Meridian Massage $95.00
Level Three — Energy Link Healing TBA
Level Four — Master Certification TBA
Front Main Energy Points Poster Quantity x $14.95 each
Back Main Energy Points Poster Quantity x $14.95 each
Omega 3 Energy Formula Quantity x $14.95 / bottle
Subtotal
Ontario add 7% GST + 8% PST
Other provinces add 7% GST
Outside of Canada no taxes		 Plus Taxes
You will need to add shipping and handling charges of $5.00 for posters and lotion only. Packages will be shipped via regular postal ground service. Plus Shipping and Handling
+ $5.00
Total Amount
VISA
MasterCard
AMEX
Exp. Date (mm/yy)
Question about shipping? E-mail info@energylinkhealing.com