Order Form — Complete and Fax or Mail Today

 Yes! I want to live longer, lower my stress levels, boost my mind-power, and improve my health and wellbeing. Please send me the Awakening Prologue for A$237 plus $10 p&h total $247.  Please include all the FREE bonuses worth $173.65 I understand I am covered by your one-year moneyback guarantee.(All the FREE bonuses are mine to keep even if I ask for a refund.)
I can expect delivery within 2 to 10 days within Australia, 1 to 2 weeks outside Australia. (Please note: A signature is required by the courier upon delivery but they can leave at a PO Box)


First Name:__________________________ Date:____________
Surname:____________________________
Address:________________________________________________
Suburb/Town:_____________________State:_______P/code:_______
Email:_____________________________________________________
Phone: Day
(___)_________________Eve (___)___________________
Fax (___)__________________


Payment Details: (Please make cheques payable to Earth Star Publishing)
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Card No.:__________/__________/__________/__________

Expiry Date: ____/____ Name on Card:___________________

Signature:___________________________________________

Split Payment Option (Credit cards only)


 Tick this box only if
(a) you are paying only by credit card, and
(b) you wish to split your order into six equal monthly payments of A$44 each.

Mail to:
Earth Star Publishing,
PO Box 1584,
Osborne Park DC WA 6916
Ph: 1300 55 20 95
or (08) 9445 8133
Fax: (08) 9445 8124