Order Form


All personal information on this form will be kept in confidence.

Please provide the following contact information:

            Name 
  Street address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal code 
         Country 
      Work Phone 
      Home Phone 
          E-mail 
             URL 

Please choose one of the following Order Options:


What quantity of the above would you like to order?

1 2 3 4 5

In addition, would you like to order the optional annual Membership Package now ?

Yes No

Please enter Total Amount paying/charging for the present order ($US currency, please):


All amounts should be made payable to the Institute of Transcendent Analysis. Mailing Address: Institute of T-Analysis, P.O.Box 30032, Long Beach, California 90853, USA

Would you like to schedule an appointment for your T-Analysis cyber session now ?

Yes No

Please enter the desired date of your appointment:

-- mm/dd/yy

Enter the desired time of your appointment, specifying what local and/or standard global time it is:


Please enter a brief description of your present condition and/or interest & goals in the T-Analytical process in the space provided below.


How did you learn about us?


What do you think of our Web Site? Please feel free to share any ideas, or recommendations that you may have. Thank you.



ITA's Home PageAnalytical StudiesCHAT SessionsDepressionAddictionSmokingOverweight Partners' RelationshipsOther IndicationsITA's CampusITA's Student ProgramITA's Membership Savings Special OffersV.I.P SessionsInsurance & SubscriptionGiftsWeb LinksASK DOC GuaranteeORDER


Your Feedback, Comments, Ideas, etc. Thank you.

Or write to: ITA, P.O.Box 30032, Long Beach, CA 90853, USA


Copyright Laws Apply