Please print this form after completing it and send it with payment to Fractology via mail (details at the bottom). Thank you. Products Quantity Cost (A$) Total (A$) Aromatherapy Oil: Psychic’s Blend 10 mls 24.00 Aromatherapy Oil: Soul Essence 10 mls 24.00 Aromatherapy Oil: Pure Resonance 5 mls 24.00 EM Modulator 325.00 Light Tower - 30km Radius 330.00 Light Tower - 90km Radius 605.00 Ecovortek: Portable 395.00 Ecovortek: In-built 795.00 Services Quantity Cost (A$) Total (A$) Photo Reading: Standard (include photo) 25.00 Photo Reading: Extended (include photo) 90.00 Catherine's Books Quantity Cost (A$) Total (A$) Manual for the Mind - 5 Keys to Telepathy 22.00 Subtotal: Plus Postage Within Australia Outside Australia Aromatherapy Oils, Books 5.60 16.00 EM Modulator, Ecovortek Portable, Light Towers 15.90 42.00 Ecovortek – Inbuilt 45.30 64.00 Total: RETURNS POLICY No refunds whatsoever on used items or food / oil which has the seal broken. Defective merchandise may be exchanged for the same item only. Items which are unused and unopened may be returned for a refund up to and including 30 days of the date of shipping. No items may be returned more than 30 days after the date of shipping. Your Details Salutation Dr Mr Mrs Miss Ms First Name Last Name Address Suburb/City State/Province Postcode Country Phone (work) Phone (home) Mobile Fax Number E-mail Payment Details Payment Method VISA Mastercard Bankcard Traveler's Checks Money order (A$ only) Cheque (Australia only) Postal Order (Australia only) Card Number Name on Card Expiry Date Today's date Your Signature Please print this form after completing it, sign and date it, and send it with payment via fax or mail to: Fractology 129 Booth Street ANNANDALE NSW 2038 AUSTRALIA Tel. +61 2 9552 2777 Fax +61 2 9552 1344 Mobile +61 2 402 439 896 e-mail info@fractology.info We will confirm your order via e-mail or fax, including pricing and postage, before shipping. If you have any further questions, please contact us. Return to Homepage