Just print this page and fax to 251-625-2612 or mail to LifeStream Medical, 607 Dryer Avenue, Daphne, AL 36526
Please send me__________copies of Anytime...For as Long as You Want: Strength, Genius, Libido, & Erection by Integrative Sex Transmutation. Tape and workbook will be discretely packaged.
If I am not completely satisfied for any reason, I can return the workbook and you will completely refund every cent.
Charge my credit card $24.95 for each copy ordered or cash my check (made out to LifeStream Medical, Inc.). Shipping is free within the United States (other countries add and additional $14.00).
Type Card (MC or VISA)
Credit Card Number___________________
Telephone (_____) _____-____________
Street address on credit card_______________
State on credit card__________ Zip _________
Email address_________________________ May I send you a newsletter every 2 weeks about how to improve your health? _____ yes _______ no