"Time Out" Relaxtion Tape Order Form


"Time Out" is our famous Relaxation Tape and you can order it for yourself or have it sent to a friend.  All you have to do is print out the coupon below and send it to us
together with your payment and the name and address of the person to whom you want to send it. 

Please note that persons should be over 18 years of age--otherwise the consent of a
parent or guardian is required.


*** If you would like me to make a tape for you on a particular subject please write or email me outlining the subject you would like covered. 
This may not be the same price as quoted below as extra expense of correspondence/phone calls and postage may be incurred.


To:-

Appleby Hypnotherapy Clinic, Camolin, Enniscorthy, Co. Wexford. Ireland.

Please post to me ______ (quantity) "Time Out" relaxation tape cassettes
at €20 each including postage and packing within Ireland/Europe

                   at $25   "          "                 "       "       "         to the USA
                   at £15   "          "                 "        "       "        to the UK
                                     Total cost _____________.



My name is _____________________________________ (Please PRINT)

My address is _________________________________________ (Please PRINT)

_____________________________________________________

_____________________________________________________

Signed: ___________________________________ (if UNDER 18 years of age please ask                                                                                                                                                                                                                                                                                                                                   
                                                                                          a parent or guardian sign for you)
(  ) I enclose payment of ________________.  I do/do not require a receipt.   

If paying by currencies other than the € (euro) please send Bank Draft made payable to Appleby Clinic.

If you wish to pay in currencies other than euro, UK sterling and US dollar, 
please email me at hypnosis@indigo.ie asking for a quotation.


We will send your tape to you at the first available posting after receipt of your order but please allow for time depending on your post office and distance from Ireland.

My "Time Out" tape has been sold in 
Ireland | United Kingdom
Europe | North America
Canada | New Zealand | Australia

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Appleby Hypnotherapy Clinic  John J. Kelly, Hypnotherapist  John J. Kelly,    EFT Practitioner  EXAM NERVES | ORDER FORM

To contact us:
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Phone: +353 54 83425

Email: info@applebyclinic.com