Printout & mail order form
for countries other than USA and Canada

Certified bank check or money order (US dollar only).
Sorry, no personal checks.

Name___________________________________________________

Address_________________________________________________

________________________________________________________

________________________________________________________


City____________________________________________________

Province________________________________________________

Postal Zone________________________________

Country___________________________________

E-Mail_____________________________________


Please check-mark: item and quantity

Volume I Tai Chi Overview
One NTSC DVD (111 min.) $29.00 - Quantity ____

Volume II Tai Chi Form Instruction
Four NTSC DVDs (440 min.) $140.00 - Quantity ____

Volume III
One NTSC DVD (101 min.) $19.95 - Quantity ____

SHIPPING COSTS
• One DVD: $8
• Two to four DVDs: $12
• Five to six DVDs: $15

Shipping method: USPS first class international is used for delivery


_________ Sub Total

_________ Shipping

_________ TOTAL



Please make certified bank check or money order(US dollars only) payable to Synerchi Publishing

Mail to:
Synerchi Publishing
P.O. Box 669244
Pompano Beach, FL 33066
USA