Back Issues Order Form

If you wish to order back issues of Spirituality & Health magazine, please print the form below, fill it out, and send with your check to the address at the bottom.

First Name or initials	_____________________________________
Last name	_____________________________________
Delivery address	_____________________________________ _____________________________________
ZIP Code	_____________________________________
Telephone	_____________________________________
Your e-mail address	_____________________________________

Back Issues order

Indicate Month and Year:

1. ___________________________ x ______ copies
2. ___________________________ x ______ copies
3. ___________________________ x ______ copies

Total Cost ($10/copy) $__________________________

Payment Options:

Option 1: Credit Card
Card Type: Visa ___ MC ___ Discover ___
Number _____________________________________
Name on Card _______________________________
Expiration Date ___________________________________

Option 2: Check enclosed $ _____________________________________

Print this form and mail with check or credit card information to:
Spirituality & Health
129 1/2 East Front Street
Traverse City, MI 49684