Order Form for Qi-stones

Qi-stones are a great gift for yourself or a friend.
Please enter the following information:

Your First Name

Your Last Name

your mailing address:

and your email address

Please choose an order option:

One bag of Qi-stones $14.95 plus $1.25 S&H

Two Bags of Qi-stones for $ 24.95 plus $1.25 S&H

Orders shipped within PA add 6% sales tax

Please Choose your payment method:

Expiration month: Expiration Year:

MC/VISA Credit Card Number:
SNAILMAIL Please send a check or money order, along with your name and address to MOORE, P.O. BOX 994, Blue Bell, PA 19422

To send as a gift, please enter the name and address of the recipient (as well as any special instructions.)

Thank You.
Please press this button
to submit your order: