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 ___ Discovery ___
Number _____________________________________
Name on Card _______________________________
Expiration Date ___________________________________

Option 2: Check enclosed $ _____________________________________

Print this form and mail with check or credit card information to:
Spirituality & Health