Contemplative Life Program Subscription Order Form

Print this from and list quantity and price.  Set your browser print margins to as small as possible for the best results. All orders should be accompanied by payment in full or credit card information (Visa and MasterCard only).

Qty Description Price Total
Contemplative Life Program Subscription Year 1 $140.00
Contemplative Life Program Subscription Year 2 $140.00
Contemplative Life Program Subscription Year 3 $ 80.00
Contemplative Life Program Subscription Renewal $100.00
Contemplative Life Program Gift Subscription Year 1 $140.00
Contemplative Life Program Gift Subscription Year 2 $140.00
Contemplative Life Program Gift Subscription Year 3 $ 80.00
Contemplative Life Program Electronic Subscription* Year 1 $70.00
Contemplative Life Program Electronic Subscription* Year 2 $70.00
Contemplative Life Program Electronic Subscription* Year 3 $ 40.00
* Available (via email with PDF attachment) at a reduced rate for participants outside the U.S. & Canada. Sub Total
Total

___Check or money order enclosed

Make checks payable to Contemplative Outreach, Ltd.

___Charge to my credit card 
       _____Visa     _____MasterCard

Credit Card No. _________________________  Exp. Date _______

Signature_______________________________________

Billing Information

Name (print) _________________________________________________

Street ______________________________________________________

City __________________________________ State _____ Zip_________

Telephone ______________  E-mail address ________________________

Shipping Information if different than above.

Name (print) _________________________________________________

Street ______________________________________________________

City __________________________________ State _____ Zip_________

Telephone _______________E-mail address ________________________

Mail to:
Contemplative Outreach CLP2007
P.O. Box 1211 Wilkes-Barre, PA 18773-1211 USA
Or fax credit card orders to (570) 822-8226