RESEARCH MATERIALS & ASSISTANCE REQUEST, ORDER, & AGREEMENT: DORAS 2 & ECS Systems, Minerals

[Please print this complete document in 'landscape' orientation, fill out completely and sign, and mail along with your payment by check or money order to the address on the lower part of this form. Thanks!]

DORAS (3) and Minerals : Price List Updated on December 5th, 2007
ITEM (see web site for further details)	QTY	EACH	COST
Iron Pyrite Ore [ Silver & Gold Ores from Colorado's gold & silver mining areas]	___ #	$4.00/#	_______
Silver Ore in Quartz , (possibly with Argentite, Iron Pyrite, & Galena included)	___ #	Presently Unavailable	_______
Sphallerite / Galena Ore	___ #	$5.00/#	_______
Calcite, Whiteish color	___ #	$5.00/#	_______
Calcite, Brownish color (var. Aragonite?)	___ #	$5.00/#	_______
Rose Quartz (very pale pinkish color)	___ #	$5.00/#	_______
Chalcedony - Chert ("flint") pieces	___ #	$5.00/#	_______
Colorado Apache tears, ~1/4" max.	___x 100	$10.00/100	_______
Rough Small Almandine Garnets, up to ~1/4"	___x 100	$10.00/100	_______
Magnetite Ore- [from gold mining area] (picks up with a strong magnet)	___ #	Out Of Stock	_______
____________________________________________________________________	___	______	______
____________________________________________________________________	___	______	______
DORAS (3) - the 'Dynamic Orgone Active Shield'	___	$400	______
NEW: 9 volt sized NiMH rechargable battery: 220 mAH capacity	____	$7.50	______
SHIPPING & HANDLING via Priority Mail Within Continental U.S. : for all MINERALS orders	ADD	Minimum $6.00 for up to the first 5 pounds; $10 for up to 10 pounds; $15 for up to 15 pounds; $20 for up to 20 pounds	______
		TOTAL	______

[Please print this complete document in 'landscape' orientation, fill out completely and sign, and mail along with your payment by check or money order to the address listed on the lower part of this form. Thanks!]

RESEARCH ASSISTANCE REQUEST & AGREEMENT

" I, the undersigned, hereby affirm that I understand and agree that all research assistance, information, devices, and materials being made available to me as an individual researcher by Bruce K. Stenulson are offered for experimental and research purposes only, and is available only on the basis of this private agreement. (Nothing is offered on a commercial or publicly available basis.) I also understand and affirm that there are no claims of effectiveness, or of suitability for any use or application which are either expressed or implied. The experimental research devices or materials being made available are only offered as a form of private research assistance. I accept complete responsibility for how I might choose to use the materials, research information, or experimental research devices which I request. I understand that research is ongoing, and that while all information may be protected under copyright laws, that any information offered is possibly incomplete, and may not be "scientifically proven" to any standards, but that it is only offered to stimulate further research. I agree to personally participate in the sharing of ongoing research information which I generate. I also understand and agree that Bruce K. Stenulson retains all rights to any and all of his designs, methods, and techniques and other research information that he may confidentially share in the course of any research assistance rendered, and I will not violate those rights, and will also not allow any research devices I obtain to be copied or reverse-engineered."

Signed___________________________________ Date____________________

Print Name_________________________________________________________________

Email Address________________________________Phone _________________________

Mailing Address______________________________________________________________

Shipping Address_____________________________________________________________

City________________________________________ State_____ Country ____________Zip_________

(Notes)______________________________________________________________________________

Terms: Please include a check or money order in U.S. Dollars with your printed & signed request; mail it to:

Bruce K. Stenulson, P.O. Box 69, Fairplay, CO 80440: 719-836-2489 weekday mornings for further info, and visit the web site http://www.stenulson.net/althealth

[ In January of 2007: Allow from 3 to 6 weeks for completion of your requests for research devices: everything is individually custom built / printed. Requests are completed in the order in which the Request & Agreement & payment arrive. You can think of me as acting as your private purchasing agent & research assistant in providing the offered services.]

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