Dr. Sklover-Filgate’s newest health and wellness CD

If you would like to order this product print this page, fill out the information, attach a check or money order, and mail to the address below.

When you are through and would like to return to the Optiself web site click here.

Name____________________________________________________________________

Address____________________________________________________________________

City/State/Province/ Zip________________________________________________________

Phone _____________________________

Fax _______________________________

Email ______________________________

Enter the number of items you would like to order:

Optiself: Science and Sound CD ($25)_______

CD and Aromatherapy soap ($30) ________

Logo Pin by Robert Dancik ($65) ________

Smaller Dancik Pin ($55) ________

Shipping & Handling included in price.

Send To:

Optiself Center for Counseling and Wellness

1 Washington Ave.

Sandyhook, Ct. 06482

If you have any questions you can reach Dr. Sklover-Filgate @ (203) 426-7042