TO PURCHASE MY PROGRAMS OR TO MAKE PAYMENTS, PLEASE USE PAYPAL OR E-MAIL ME ALL YOUR INFO AND I WILL RUN IT 
PERSONALLY.

Easy Credit Card Payments Using PayPal

Please e-mail me if this form is NOT working. master@chikung.com.

On-Line Chi Kung & Nei Kung Audio Intro Tapes

I am requesting your FREE Tidal Wave Chi Kung & Mind Light Nei Kung Intro CD! Yes No

All my video clips.

How did you hear about this page?  Please be specific about the source. 

Name (Mr. or Ms., Fname & Lname)   E-Mail Address 

Company  Address 

City  State  Zip  Country 

Phone Numbers: Home  Work 

I am very interested in cultivating my vibration and I understand that your Tidal Wave(tm)
Chi Kung or your Mind Light(tm) Nei Kung is the place to start. Yes No

Please call Gary J. Clyman to discuss your best format options at (800) 782-4244.  24/7 is O.K.

I have martial art and/or meditation experience? Yes No

I am a martial arts instructor? Yes No

What style do you teach? 

Please state what health conditions or illnesses you would like to cure? 

Please state your interests and what you want to accomplish from Chi Kung 

I want to come to Chicago for your PRIVATE 2-Day Personal Power Training Chi Kung Workshop 
Intensive A.S.A.P.! Yes No  - If "yes," call me to arrange it.

I am very interested in your Tidal Wave Chi Kung Video Instruction Program Yes No
If "yes," order it on this order form.

I am very interested in The Ultimate Combination Program (See Product & Services Link) for 
details!Yes No  If "yes," call me to discuss your needs. Products & Services

I am very interested in taking your PRIVATE 3-Day Mind Light(tm) Nei Kung Training! Yes No
If "yes," call me to get details and make reservations.

I am very interested in learning your Mind Light(tm) Nei Kung Video Training! Yes No
If "yes," call me immediately to discuss your training options.

I am very interested in being treated! Yes No
TAKE ME TO THE "SEED TREATMENT" BROCHURE PAGE! 


I am very interested in traveling in to be treated! Yes No
Call me immediately to make an appointment! 


I frequently have people visit to Chicago to be treated.  Make sure we speak IN ADVANCE to discuss the details.

I am very interested in taking the "Treat With Jing Training" you offer! Yes No
TAKE ME TO THE "TREAT WITH JING TRAINING WORKSHOP" PAGE! 


Are you interested in Specialty Nutrition and how it relates to vitality, immunity,
energy and fitness? Yes No

I am very interested in creating an additional income stream through marketing nutritional
products. Yes No

Nationally, call (800) 782-4244.  Locally, call my cell phone at (312) 446-8218.  I look 
forward to speaking with you personally.  If it is easier for you, you can purchase any 
of my programs using a check, make it out to Gary J. Clyman and send to 3257 N. Sheffield 
Ave, Suite 105, Chicago, IL  60657.  Thank you.

Please send me ANY other questions you might have and I will answer them personally.  
Please TYPE IN DVD or VHS Format in the box below.  

	

Miscellaneous payments for any of Combination Programs can be made via my PayPal Page linked at the bottom of this order form. This form will forward immediately to my personal e-mail account. I will confirm and ship your order A.S.A.P.

Mind Light(tm) Nei Kung Video Instruction Program

The Tidal Wave(tm) Chi Kung Program is INCLUDED in the Mind Light(tm) Nei Kung Program. The price is $3,000. Add $30 for shipping out of USA.

Personal Power Training 8-Session is available via private consultation ONLY. The cost is $8,000 and I pay my own expenses in the USA.

Personal Power Training is available by private consultation ONLY. The price is $3,000 and can be scheduled around your busy schedule. I am also available for Private Personal Power Training TRAVELING.

Tidal Wave(tm) Chi Kung Video Instruction Program - Flexing The Muscle of Your Will

by Gary J Clyman - (Includes the 28 minute daily practice routine) Call me to discuss these programs. The price is $750. Read my book on-line. Add $30 for shipping out of USA.

Initial Treatment Consultation in my office

Call me to arrange your appointment time. The cost of my Initial Treatment Consultation is $250.

Six Pack Of Treatments

Call me to arrange your preferred appointment times. Call me to confirm your Six Pack Of Treatments. The cost is $750. Regular treatment cost is $150 per session. It is less expensive to purchase a Six Pack Of Treatments than to pay individually. My sessions tend to be longer than other practitioners because I get as much done as fast as possible. I charge more but you get fixed much faster.

Treat With Jing Training Workshop

Call me to discuss taking this rare and powerful treatment training. No previous treatment experience is needed. Pre-requisites for this training is outlined on my Treat With Jing Training Page. The cost is $1,200 for this special group training. Size will be limited, so register fast. This workshop will be scheduled for July 2007. This is training in how to use your personal vibration to treat YOURSELF and OTHERS. Pre-Payment discounts do apply!

TAKE ME TO THE "TREAT WITH JING TRAINING" PAGE!

"The Chi Kung Bible" entitled Mastering Personal Power is at Read my Chi Kung Bible On-Line

by Gary J. Clyman - Read it on my web site for FREE. Just click!

^*Using PayPal Virtual Terminal, I Gladly Accept All Credit Cards.

Click here to see my complete services list.  Please purchase programs and make various payments using PayPal.

Please use PayPal for all credit card payments and purchases or e-mail me ALL your info and I will run it myself.  I have a NO REFUND 
policy on EVERYTHING!  No exceptions because I've been taken advantage of before.  Include your BILLING address.

Name on Card  Card Number  Exp. Date 
CVV Code, last 3 digits on back of card