PLEASE PRINT THIS FORM & MAIL WITH YOUR CHECK OR MONEY ORDER.
(Also available through newafricabooks.co.za or exclusivebooks.com.)

Bill To:
Name 
Address 
  
City,ST,Zip 
Day Phone 
E-mail 
 Ship To: (if different from billing address)
Name 
Address 
  
City,ST,Zip 
How did you hear about us?,


Item Total
Tax-Deductible* Donation to Inward Bound Healing Journeys (U.S. Dollars Only) $
Africa In My Bones (Book & CD) by David Cumes (FREE w/$20.00 min. donation) $0.00
Please Enter Your Total Payment Amount $

Method of Payment: (circle one)
Check - Money Order
 
*The Tshisimane Healing Center operates under a 501 c(3) not-for-profit organization supported by grants and by your generous donations.

Print this form, fill in your address and payment information, and send the completed form to us by:

Fax:
(805) 964-6772
Mail:
Dr. David Cumes M.D.
334 S. Patterson #204
Santa Barbara, CA 93111

Please make checks payable to:
Inward Bound Healing Journeys