Product Order form

Thank you for your decision to purchase Products from The Daily Motivator. This form is for those who wish to order by mail and pay with a check or money order. If you would prefer to order on the web using your credit card, please click here.

Please select "Print" from your browser's "File" menu to print this form. Then fill it out (PLEASE PRINT CLEARLY) and mail it to the address below.

Your name ___________________________________
    
Your e-mail address _________________________

Your phone number ___________________________

Your full shipping address,  _____________________________________
including street address,   
city, state or province,     _____________________________________
postal (ZIP) code, and     
country. (PO Boxes OK)       _____________________________________

Products you are ordering:
                                          Price each
Quantity  Item Description               (see below)    Total cost

________  DVD - Great Day in the Islands  __________    __________
________  CD - Journey of the Spirit      __________    __________
________  CD - Reflections of Serenity    __________    __________
________  CD - Peace Beyond Words         __________    __________
________  Book - Living the Wonder...     __________    __________
________  Book - Daily Motivator To Go    __________    __________


                                    Merchandise total   __________
                8.25% Sales tax (TEXAS RESIDENTS ONLY)  __________
                                + shipping (see below)  __________

                                        TOTAL ENCLOSED  __________
PRICING - Great Day in the Islands DVD is $19.95 or $17.95 when you purchase 3 or more total items. Living the Wonder of It All book is $14.50 or $13.05 each when you purchase 3 or more total items. The Daily Motivator To Go Book is $12.95 or $11.65 each when you purchase 3 or more total items. Music CDs are $14.00 or $12.60 each when you purchase 3 or more total items.
SHIPPING to USA and Canada - $4.75 for the first item plus $1.25 for each additional item. Shipped by Priority Mail in USA or Air Mail to Canada. SHIPPING to all other countries - $11.00 per BOOK plus $5.00 per CD plus $5.00 per DVD for Air Mail shipment.
Please send this form, along with your check or money order in US Dollars drawn on a US bank, made payable to Image Express, Inc. to the following address:

Image Express, Inc.
P.O. Box 66536
Austin, TX 78766
USA