CREDIT CARD SAFE ORDER FORM
Please Note: The information submitted on this page is protected inside a high-level security encrypted form and
processed in the same secure environment. Your personal information is safely transmitted to Samata Yoga... Thank you.
 

Larry Payne, Ph.D. User Friendly Yoga™ Products

 

ORDER FORM

 
NAME:
STREET:
CITY:

STATE:

ZIP:

 
TELEPHONE:

FAX:

EMAIL:
 

How did you find out about Samata? 

 
Quantity
  Item Description
Price Each
  DVD - Immune Booster & General Conditioning - Level 1
$19.95
  DVD - Immune Booster & General Conditioning - Level 2
$19.95
  DVD - Weight Management for People with Curves
$19.95
  DVD - Common Lower Back Problems
$19.95
  DVD - Common Upper Back and Neck Problems
$19.95
  DVD - Restorative Health for Women
$19.95
  DVD - Classic Beginner's Yoga for Men & Women
$19.95
  VIDEO - User Friendly Yoga
$20.00
  VIDEO - User Friendly Back Yoga
$20.00
  BOOK - Yoga Rx
$17.95
  BOOK - The Business of Teaching Yoga
$59.95
  BOOK - Yoga For Dummies
$19.99

SUBTOTAL:

 

Tax (California Only) Subtotal x .0825:

 

Shipping/handling $3.20 each item:

 

Plus $2 extra for Book Orders:

 

TOTAL:

 
 


Charge Card Information

NOTE: If you want to mail a check instead of charging your order CHECK HERE:
Then submit this online form and we will hold your order until your check arrives.
Please mail your check payable to:

Samata International
4150 Tivoli Ave
Los Angeles, CA 90066

Contact information:
Attn: Samata Yoga (310) 306-8845 or E-Mail: samatayoga@earthlink.net

Card Type:
Visa

MasterCard

American Express

 
Name on Card:
Card Number:

Expiration:

Comments or Questions:

After you have input your information and question:

Please allow 10 to 14 days for your order to arrive.