Shamanchild book order form

Shamanchild Book Order

All information submitted in this form will be kept confidential

Name:
Address1:
Address 2:
City:
Province/State:
Postal/Zip Code:
Country:
Phone Number:
E-mail Address:
Number of books:
Cost:	$20 per book
	$6 per book for shipping and handling in Canada
	$10 per book for shipping and handling outside of Canada
Total Amount:
	Please make Canadian Money Order or Bank Draft payable to:
	Three Mountain Foundation of Canada

	Please e-mail or phone Three Mountain Foundation at 250-376-8003
	for any additional information you may require.