Radical Medicine


Product Order Form
International Academy of Matrix-Field Measurement
Product Order Form

Please print out the following form and fax or mail to us.


Name: Degree:
Address: City: State: Zip:
Phone: Fax: Email:

Check Here

Name of Product

Qty.

Cost
NEW Book - Radical Medicine - $65.00    
1. 2005 "Cell Salt" Handout - $7.00    
2. Master Mode Card Set (updated 2003) with a box - $285.00    
2A. Master Mode Card Set (updated 2003) without a box- $255.00    
2B. Catch Up Mode Cards - $5.00 each    
3. Master Tissue Filter Card Set (updated 2003) - $80.00    
3A. Catch Up Tissue Filter Cards - $5.00 each    
4. Master TL Card Set (updated 2003) - $150.00    
4A. Catch Up TL Cards - $5.00 each    
5. Dental Chart Package - $40.00    
6. Bahr's Auriculotherapy Chart - $20.00    

Total:  

   

Shipping & Handling:  
(Shipping & handling is free in the U.S. and Canada for orders over $125; $10 for orders between $50 and 125; and $6 for orders under $50. For foreign countries, rates are based on the postage required.)

 

Grand Total:  

 

Payment Method:
Credit Card ( ___Mastercard  ___Visa) Check (Make checks payable to IAMFM, Inc.)

If paying with credit card, please fill out below:
CC#: Expiration Date: Verification Number:

* All products will be shipped after receipt of payment.

* If you have any questions or comments, please do not hesitate to contact us:

IAMFM, Inc.
        21 Pamaron Way, Suite B
        Novato, CA  94949

        Phone: (415) 460-1968
        Email: info@IAMFM.org
        Fax: (707) 279-0996
        Website: www.IAMFM.org