ASYRA PRO General Information Form
(If you were referred by someone please let us know.)
{Maximum 2000 Characters - Only what is visibly showing will print.}
Please attach additional information if needed.
*Note: If you are *not* referred by a doctor,
you *must* sign and return the » Consent and Release Form
Send completed forms with saliva sample and check or money order payable to Joyce Tasker for complete analysis.
The self test fee includes screening, products, shipping and handling and support. Fee must accompany sample.
- Product refills are an extra charge
- International shipping charged at actual cost
- Non-tincture products additional charge
Human $295.00*
Animal $295.00*
Laser for Human or Animal add an additional $125.00*
* Self Test Screening Session fee must accompany sample and cost of laser
if you opt for a laser.
- Product refills are an extra charge
- International shipping charged at actual cost
Pre-paid screenings are available.
3 screenings paid in advance per individual client $800.00 (savings of $85.00).
Lasers (reusable): $125.00 each
Shipping involves risk which you can reduce.
Due to the nature of the shipping process, Energieswork cannot be responsible for lasers lost or damaged in transit back to you. If you are concerned about your laser getting lost, I suggest you request return shipping insured by the postal service. This shipping method involves additional cost which you must bear and additional time to process. Add $5.00 to your screening fee and enclose a note requesting USPS insurance.
This service can delay return of your laser by as much as 5 days.
Please send to:
Joyce Tasker
Energieswork.com Business Office
2279 Marble Vly Basin Rd.
Colville WA 99114-9575
Email: energieswork@gotsky.com