Order Form

Place credit card orders weekdays, 8AM-3PM, ET call 603-798-3286

The HypnoBirthing^® Rainbow Relaxation CD is comprised of two tracks. Track one is the Rainbow Relaxation, used to bring the mother’s thoughts into harmony with the natural flow of energy in her body, and to help surround her with natural relaxation, leaving her mind and body peaceful and tranquil. Track two is Birthing Affirmations, used during pregnancy to place the mind in a positive mode, and to condition it for a positive outcome at the time of birthing.

Also available is an additional CD - The Comfort Zone, by Steve Halpern, a very calming program of music that works extremely well with HypnoBirthing^®.

The HypnoBirthing^® Stories Video shows women birthing with HypnoBirthing^®. Viewing them helps demonstrate how easy, peaceful, safe and comfortable birthing is with HypnoBirthing^®.

ORDERING:
CREDIT CARD ORDERS: taken weekdays, 8am-3pm, EST/EDT. Phone (603) 798-3286.
MAIL ORDERS: print order form, place check/quantity next to selections, total and enter requested data.
Include credit card information, or make check or money order payable to HypnoBirthing and send to
P. O. Box 810, Epsom, NH 03234-0810.
HELP: Questions? call 603-798-3286 or send an email to: distribution@hypnobirthing.com

_____	Book Only	$18.00	______
_____	HypnoBirthing^® Rainbow CD, English or Spanish	$22.00	______
_____	Book/CD set	$38.00	______
_____	HypnoBirthing^® Stories, DVD	$35.00	______
_____	Comfort Zone CD	$20.00	______
_____	Gentle Surge CD (read details)	$20.00	______
_____	HypnoParenting CD (read details)	$20.00	______
_____	PEACEFUL, CALM & RELAXED/Alan Roubik & Alisha Tamburri	$20.00	______
	"A combination of healing words and music for stress reduction, sleep deprivation, and rejuvenation."
	Sub Total:	______	______
_____	Regular Shipping (2-3 weeks) add $5.00	______	______
_____	Priority Shipping (3-4 days) add $7.00	______	______
	ORDER TOTAL:	______	______


Name:____________________________________________________________________ Shipping Address: _____________________________________________ Apt. # ________ City: ___________________________________ State: ____________Zip _____________ Phone: _______ - _______ - ______________________ Order date: ______/______/_____ Credit Card No: __________________________________________Exp. Date: ____/_____