Miss Dee's Metaphysicians Gallery Order Form (720) 304-5947 Monday - Friday, 8:30 a.m. - 4:00 p.m. MST We accept Cashier's, Personal or Traveler's Checks, and Money Orders. Due to the high cost of processing, we do not accept credit card orders. Please print this form, fill in the necessary information then mail it back to us along with your payment! Customer Name: _________________________ Shipping Name: ________________________ Shipping Address: ________________________ City, State & Zip: _______________________ Day Telephone #: ________________________ Evening Telephone #: ____________________ We need your telephone numbers ONLY if we have a question about your order. E-mail Address: __________________________ We will notify you by e-mail upon the receipt of your payment and the shipping status of your order. Please print or type the information we need. Use the back of this form if you need more space. If you prefer, simply e-mail your purchase request to either spiritfood@centurylink.net or missdee001@centurylink.net. Prepayment is required on e-mail reading orders. Item Description Quantity Amount Readings
Spiritual/Metaphysical Mini-Reading $50.00 ______ ______ Write your specific questions, up to 5. Use the back of this form. ___________________________________________________________________ Astrological Mini-Reading $50.00 ______ ______ We will need the birth information of the recipient of this reading! Name: ________________________ Birth Date: month_____ day____ year_____ Birth Time: ____a.m. p.m.(please circle) Birth Place: City ___________ State/Provence __________ Country _____________ Write your specific questions, up to 5. Use the back of this form. ___________________________________________________________________ Natal Chart Reading $100.00 ______ ______ We will need the birth information of the recipient of this Natal Chart reading. Name: _______________ If this is a gift, would you like a special greeting? _________ _______(i.e.: This is a birthday gift to __ from ___ / Merry Christmas / Happy Anniversary) Birth Date: month_____ day_____ year_____ Birth Time: ______a.m. p.m.(please circle) Birth Place: City _____________ State/Provence ___________ Country ____________ Do you have any specific questions? (Up to 5) Use the back of this form. _____________________________________________________________________ Transit Chart Reading $60.00 ______ ______ We will need the birth information of the recipient of this Transit Chart reading. Name: _________________ If this is a gift, would you like a special greeting? _________ _______(i.e.: This is a birthday gift to __ from ___ / Merry Christmas / Happy Anniversary) Birth Date: month____ day_____ year______ Birth Time: ______a.m. p.m.(please circle) Birth Place: City ____________ State/Provence ____________ Country _____________ Do you have any specific questions? (Up to 5) Use the back of this form. ______________________________________________________________________ Spiritual/Metaphysical Mini-Reading $50.00 ______ ______ What e-mail address would you like your reading sent to?__________________________ What date and time is your preference for your telephone reading? ___________________ What is the cell or telephone number you would like us to use? ______________________ Write your specific questions, up to 5. Use the back of this form. ___________________________________________________________________ Astrological Mini-Reading $50.00 ______ ______ What e-mail address would you like your reading sent to?__________________________ What date and time is your preference for your telephone reading? ___________________ What is the cell or telephone number you would like us to use? ______________________ We will need the birth information of the recipient of this reading! Name: ________________________ Birth Date: month_____ day____ year_____ Birth Time: ____a.m. p.m.(please circle) Birth Place: City ___________ State/Provence __________ Country _____________ Write your specific questions, up to 5. Use the back of this form. ___________________________________________________________________ Books and Products Quantity Amount Books The Yod, Your Special Life Purpose $21.00 ______ ______ Health, Astrology, and Spirituality $18.00 ______ ______ From Fire to Flight $15.00 ______ ______ The Best of Miss Dee $16.00 ______ ______ The Warm Fuzzies Series, set $18.00 ______ ______ or Warm Fuzzies single booklets: Thoughts on Life Purposes $3.00 ______ ______ Thoughts on Your Psychic Self $3.00 ______ ______ Thoughts on Being Cherished $3.00 ______ ______ Thoughts on Relationships $3.00 ______ ______ Thoughts on Health $3.00 ______ ______ Thoughts on Careers $3.00 ______ ______ Thoughts on Change $3.00 ______ ______ Products Audio Cassettes A Touch of Something Spiritual $10.00 ______ ______ Your Special Life Purpose, The Yod $10.00 ______ ______ Oh, My Achin' Issues $10.00 ______ ______ Growing Pains $10.00 ______ ______ Your Total _____________ Taxes plus Standard Shipping & Handling in the Continental U.S. are complimentary! For Foreign Country orders, please add $15.00 Your Total ____________ Please make your check, money order, cahsier's or traveler's check payable to D. Lee then mail your payment (U.S. dollars only) along with one completed copy of this order form to: Miss Dee at Metaphysicians Gallery 7441 So. Sheridan Ct. Littleton, CO 80128 USA Please allow approximately 2 weeks for delivery. Thank you very much for your order. We appreciate your patronage! Click back arrow to return to the previous page. |
|