* * * * * * * * * * VEDIC CALENDAR ORDER FORM Today's date: __________ Name to appear on the personalized Vedic Calendar: ______________________________________________________ Time of birth: _____________________ AM or PM (circle) (write 'Noon' if time not known) Date of birth: _____________________ date, month, year Place of birth: __________________________________ city _____________________ state or province _______________________________ country Calendar start month: __________________, year ________ Name and address to which the calendar is to me mailed: Name: _________________________________________________ Address: ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ Send filled-out order form along with $15 (cash or money order in U.S. funds only payable to Mantra Corporation. Price includes postage and handling. Add $4 for calendars to be mailed to addresses outside Canada and the U.S. Mail order form with cash or money order to: Mantra Corporation P. O. Box 1919 Waianae, HI 96792-6919 USA * * * * * * * * * *