Ordering

To order the "Freedom from Headache Pain" Book/Tape Program , AromaFocus (tm) Kit, Interactive Program, Biofeedback Device or Electroalgiograph (EAG) , please fill out the information below and click on the "Submit" button. You can also print the form using your browser and FAX it to (805) 965-5384. If paying by check or money order, please mail the form along with payment to:

Dr. Ken Pfeiffer

405 Loma Media Rd.

Santa Barbara, CA  93103

Product

Qty

Price

Total

Freedom from Headache Pain

 

$14

 

Practice Audio Tape

 

$10

 

AromaFocus (tm) Kit

 

$14

 

Interactive Program *

 

$195

 

Biofeedback Device

 

$145

 

Electroalgiograph (EAG)

 

$1995

 

       
   

Total Enclosed:

 

Overseas orders please add $15.00 for airmail

* For the Interactive Program, please specify the type of communication you prefer:                                                                                                                           

               Email              Fax                Regular Mail 

Name:

 

Company (if applicable)

 

Address

 

City

 

State, Zip

 ,

Daytime Phone (for questions re order)

 

FAX (for Interactive Program)

 

Email address (for Interactive Program)

 

Visa/MC/Amex Credit Card Number

 

 Expiration date for credit card

 

Comments:

Unconditional 100% Money Back Guarantee!

If you are not satisfied with a program for any reason whatsoever, simply return it within 30 days for a refund. Most orders for the the Book/Tape Program or the Biofeedback Device are shipped the same day we receive them.  Enrollment in the Interactive Program will begin immediately when we receive your payment.