Print and complete this form, and mail it with your payment to the address written below.

Your mailing address:

_______________________________
_______________________________
_______________________________
_______________________________

I Can Relax! CD Price:

Quantity:

Shipping and Handling:

Total Price:

= $13.95

= __________

= $2.50

= __________

Please make checks payable to
Psychzone Inc. and mail your order to:

Psychzone Inc.
64 High Rock Terrace
Chestnut Hill, MA 02467

Thank you for your order!