Order Form

Name _______________________________________________________________

Address _____________________________________________________________

____________________________________________________________________

Phone Number ________________________________________________________

E-mail _______________________________________________________________

Qty	Title	Price	Total
____	Piano for Quitters - 90 min. DVD	$29.95	.
____	Piano for Life - 4.5 hour 3 vol. DVD	$77.95	.

Shipping and Handling:

Piano for Quitters only	$5.00	.
Piano for Life only	$7.00	.
Order both, then No Shipping Charge!		-----
Subtotal:		.
* WA Residents only - please add 8.8% sales tax:		.
Grand Total:		.

* 8.8% x $29.95 = $2.64

8.8% x $77.95 = $6.86

Please make checks and money orders payable to:
Piano For Life, Inc.
P.O. Box 1510
Milton, WA 98354

You may also pay by credit card by calling toll free:
1-888-742-6653