A nonprofit, scientific,
educational, membership,
corporation
DINSHAH HEALTH SOCIETY
PO Box 707
Malaga NJ 08328 USA
(856) 692-4686 . . . . . . . dinshahhealth@aol.com

Please enroll me as a member so I may learn and help others to learn
some of the lesser known methods of restoring and maintaining health.
o I have never been a member o I am or have been a member o Address change since last membership

(Mr, Ms, etc.)_________ ______________________________ Gender_______ Birth Year 19____ Title Name
Address_________________________________________________________ Apt #_________ City, State, Zip_______________________________________________________________ I learned of this Society from_________________________________________________ Occupation_______________________________________ Phone #______________________ My local Only for foreign o North o East time zone________ Countries: I live______km o South o West __________________ of this large city Comments_________________________________________________________________________ _________________________________________________________________________
Membership to end of year (or following year if after Sept. 30), $3.00 ($6 = 2 years, $9 = 3years).
Includes Forecast times, and Newsletters when published, usually four per year.
>
Date_____________________________ Signed________________________________________

USA standard shipping FREE (Contact us for foreign shipments, or for Priority additional postage.)
Item descriptions are on our Home Page.
#1: Spectro-Chrome Information Package: items A, F, N (DVD) @ $20________
#2: Spectro-Chrome Information Package: items F, N (DVD) and please specify the language of the book, I German _____, X Chinese ____, or Y Spanish _____. @ $20________
#3: Add to price of an Info Package if item M is also desired. @ $12________
#4: Add to price of an Info Package if item P is also desired. @ $17________
#5: Add to price of an Info Package if item S is also desired. @ $4________
#6: Add to price of an Info Package if item W is also desired. @ $6________
Sales tax. All orders for material to be delivered to a New Jersey address must include 6.625% sales tax. This does not apply to donations or membership dues. $_______.
See our Home Page for remittance and wholesale pricing information.
Return to Dinshah Health Society Home Page Updated January 2021.