Order Form (Qi Gong)

Please complete form and mail with your check or money order to:

BON PRODUCTIONS
Attn: Ken Weintrub
261 E Alegria Ave #3
Sierra Madre CA 91024

Your Information
Date
Name
Address
City State Zip
Country
Phone Number Evenings
Fax
Email
Order Details
Practices 1, 2 & 4
on one DVD

x $39.95 (in CA $43.85*) = $
Available in DVD only

Qi Gong Practice 1
Xian Gung		 x $24.00 (in CA $26.34*) = $
DVD VHS
Qi Gong Practice 2
Shaolin Neijin Yizichan		 x $24.00 (in CA $26.34*) = $
DVD VHS
Qi Gong Practice 3
Silk Reeling Cocoon		 x $24.00 (in CA $26.34*) = $
Available in VHS only
Qi Gong Practice 4
Eight Treasure Good Fortune
Pile Stance Exercise		 x $24.00 (in CA $26.34*) = $
DVD VHS
Order Total - Amount Due
Payment Details
Check # Amount $

* California residents must add 9.75% sales tax.

Sorry, no credit card orders on this form only. Please make out checks and money orders to BON PRODUCTIONS.
Shipping/Handling for U.S. orders is included in prices above.

Canadian Customers: For shipping to Canada please add $5.00US per item. Please allow 4 to 6 weeks for delivery.