Order Form
Audio CD’s – Cassette Tapes  

Print Name: ___________________________________________________________            Date: ______________

Street Address: ___________________________________________________________

City: _____________________________ State: __________ Zip: ______________

Phone contact if questions with order: Home: _________________ Work: ________________  Cell:________________

Payment Method:
 CHECKS ONLY PLEASE – No Credit Cards accepted at this time
Checks Payable to:
 Shawn O’Regan
Mail Order to:
 P.O. Box 2
Allenton, MI 48002-0002
Call to order:
 (810) 798-3884 and pick up or have your order shipped to you.
Pick Up Order at:
 Save shipping fees, call in advance to arrange to pick up your order at:
Mercy Health Center,  4190 - 24th Avenue, Fort Gratiot, MI  48059

Audio CD’s = $17.00 each or 3 for $45
Cassette Tapes = $15.00 each or 3 for $35
TITLE
CD $
Tape $
Quantity
Total
Her Most Popular - In Demand CD!
“10 Minute C.E.O. Power Nap”- Self-instructional,
so you can learn to power nap without the CD. It works!		 ________ ________ X ________ = _________
Lose Weight: Manage your Mind, Manage your Weight ________ ________ X ________ = _________
STOP Smoking - Reinforcement during sleep or napping ________ ________ X ________ = _________
STOP Smoking - Reinforcement during day, driving, etc. ________ ________ X ________ = _________
Stairway to Relaxation ________ ________ X ________ = _________
Therapeutic Waterfall - Emotional, physical, and
mental healing needs.  Calming.		 ________ ________ X ________ = _________
Memory /Concentration: Help in studying, retaining
information for tests. 		            
HIP Replacement - Set of 3 CD's or $20 each
Before surgery, immediately after, 90 days after		  $50.00 or
 $20.00 ea.
CD's only 
 X ________ = _________
KNEE Replacement - Set of 3 CD's or $20 each
Before surgery, immediately after, 90 days after		  $50.00 or
$20.00 ea.
CD's only 
 X ________ = _________
Good Night Sleep - Assist in helping to get to
sleep and sleep well all through the night.		    CD only        

SUB-TOTAL:

           _________
SPECIAL OFFER until Oct. 30th - FREE Shipping!          
$0.00
 
 
 _________
             

TOTAL DUE:

           $________