PERSONALIZED MANDALA ORDER FORM

Delivery 2-4 weeks

Please check the one you choose. (Use for each person a separate order-form)

PERSONALISED MANDALA ALBUM  1    $195

PERSONALISED MANDALA ALBUM  2    $315

PERSONALISED MANDALA ALBUM  3    $425

PERSONALISED MANDALA ALBUM  4    $575

Special Offer 2005

Personalized Mandalas

Mandala bold simple without explanations of any kind:

Two dimensional Personal Mandala:    $   125

Three dimensional Personal Mandala: $   150

Four dimensional Personal Mandala:   $   175

BIRTH INFORMATION. PLEASE WRITE IN PRINT

            Name: _______________________________________________________

 Date of birth: _______________________________________________________

Place of birth: _______________________________________________________

Time of birth: _______________________________________________________

          Address: _______________________________________________________

                City: ___________________________ State: _________  Zip: ________

             Phone: _______________________________________________________

            E-mail: _______________________________________________________

Please include a check or money order for the required amount + $ 10 shipping (inside US) and handling.

Please mail payment and this filled out form to:

H.Emahmn

5101 O’Bannon Drive # 220

Las Vegas, NV 89146

For further questions, please email: emahmn@yahoo.com  or call: (702) 247-8884

More info on www.magicmandala.com