Jin Shin Do® Foundation: 2013 Acupressure Product Order Form
Securely submitting this form:
NOTE: jinshindo.org has not switched over to secure payment processing at this time (i.e. use of PayPal, or some other secure payment processor) and so we advise that if you elect to include your credit card information at the bottom of this form, you do not submit the form from a public location such as a coffee shop or Internet café that offers free wireless services. Other locations do offer more security, such as your home which may have a dedicated Internet connection.
Options in case you do not wish to include your credit card number on this form:
Fill out all the information for your order except the sensitive credit card information, and submit the form. Then follow up with a phone call [(951) 767-3393] or email [firstname.lastname@example.org] to the JSDF director and author Iona Marsaa Teeguarden, M.A., L.M.F.T. with your credit card information to complete the order.
NOTE: Credit card information e-mailed to the JSDF director and author Iona Marsaa Teeguarden, M.A., L.M.F.T., is not kept on file and is permanently deleted from the jinshindo e-mail account immediately after the order is processed.
Or: Print this form from your browser, fill it out and mail or fax it along with your credit card information, check, or money order -- as described at the bottom of this form.
Or: Write down what you wish to order, and then simply send your own email outlining your order details to JSDF at email@example.com (if you email your credit card numbers and expiration date, you may send part of that information in one email and the rest in another email).
Note: JSDF director and author Iona Marsaa Teeguarden, M.A., L.M.F.T. can be reached at (951) 767-3393 if you have any questions.