Laughter Remedy Order Form

Please Print This form and mail to:
The Laughter Remedy
3140 Wilmont Dr
Wilmington, DE 19810

Title: Price (US $) Quanity Total Health, Healing and the Amuse System: Humor as Survival Training $20.00 - - Understanding and Promoting the Development of Children's Humor + Stumble Bees and Pelephones $16.00 - - Small Medium at Large $12.50 - - Shipping and Handling (see below): - - Total: -

Shipping and Handling(Media Mail) 1 item = $2.50 2 items =$3.00 3 items = $3.50 Larger orders and overseas orders? Please call or e-mail.

Name:

Address:

Payment Type:

Check

Visa

City, State, Zip

Master Card

Cardholder Name

Phone.

Card Number

To Order by phone, please call 302-897-7827.

Exp. Date

To order by fax, call 302-479-7826.