Wind Flower: Order Form

Order online with MasterCard/VISA/American Express/Discover/PayPal.. To order by mail, print this page, fill in the blanks, and mail to Imaja with your check or money order payable to Imaja.

________ Wind Flower : DVD Video $39.95
          -
________ California residents add 8.25% Sales Tax
________ USPS shipping: $4.00
________ or International air mail shipping: $10
________ Total
 
 Check or money order enclosed (US$) 

Name ___________________________________________________________________________

Company ________________________________________________________________________

Address ________________________________________________________________________

City/State/Zip _________________________________________________________________

Country ________________________________________________________________________

Phone (Required) _______________________________________Fax_____________________

E-mail _____________________________________________Mac Model/System____________
Send to:
Imaja, 2409 Parker St. #2, Berkeley, CA 94704 USA
Tel: 510-526-4621
E-mail: . Web: http://www.imaja.com
Imaja home page ... Wind Flower