ORDER FORM

To order any of the items listed below, please and mail this form with your check or money order in U.S. currency (payable to Actualism) to:

Actualism
38-11 Ditmars Blvd., Suite 196
New York, NY 11105

Please send me:
___Copies of Basic Principles of Actualism at $7.50 each, plus shipping and handling ($3.50 in USA, $5.50 overseas).

___Copies of Initiation to Lightwork at $10.00 each, plus shipping and handling ($4.00 in USA, $6.00 overseas).

___SPECIAL OFFER: Order both Basic Principles of Actualism and Initiation to Lightwork for a total of $20.00, including shipping within the USA (a savings of $5.00 off the price of ordering them separately). For orders outside the USA the special offer price is $25.00 (still a savings of $4.00 off the regular price).

___Copies of Leaving No Track at $19.95 each, plus shipping and handling ($4.00 in USA, $6.00 overseas).

Total Amount Enclosed: $__________ (US Dollars only, please)
First Name________________________Last Name________________________________
Daytime Telephone: (___)____________________Extension_________
Address________________________________________________Apt._______________
City_____________________________State_____Zip__________Country____________
E-mail Address______________________________________________________