TAPE REQUEST FORM BHAVANA SOCIETY Rt. 1 Box 218-3 High View, WV 26808 USA Tel: (304) 856-3

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TAPE REQUEST FORM BHAVANA SOCIETY Rt. 1 Box 218-3 High View, WV 26808 USA Tel: (304) 856-3241 Fax: (304) 856-2111 Name_________________________________________________________________ Address:_____________________________________________________________ _____________________________________________________________________ City_____________________State_______Zip.________ +~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~+ |Qty | Tape title (give first two words only) | Tape | Donation | |~~~~~|~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~|~~~~~~|~~~~~~~~~~| | | | | | |~~~~~|~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~|~~~~~~|~~~~~~~~~~| | | | | | |~~~~~|~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~|~~~~~~|~~~~~~~~~~| | | | | | |~~~~~|~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~|~~~~~~|~~~~~~~~~~| | | | | | |~~~~~|~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~|~~~~~~|~~~~~~~~~~| | | | | | |~~~~~|~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~|~~~~~~|~~~~~~~~~~| | | | | | ~~~~~~|~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~|~~~~~~|~~~~~~~~~~| Packaging and mailing cost | | |~~~~~~~~~~| Any (additional) donation to Bhavana Society | | |~~~~~~~~~~| Total | | |~~~~~~~~~~| Suggested donation: $4 per tape unless noted otherwise. How to calculate packaging and mailing cost: U.S.A. and Canada: 75 cents per tape Overseas: $1.00 (surface) or $2.50 (air) per tape Any (additional) donation to Bhavana Society is optional and will be used by the Bhavana Society for the offering of meditation retreats, lecture tours, and other ways of spreading the Dhamma. Please make checks or money orders payable in U.S. dollars to BHAVANA SOCIETY.

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