ORDER FORM

EXERCISE EQUIPMENT AND MISCELLANEOUS DEVICES

QTY ITEM COST* TOTAL
    Back to  Two Black Sticking Point Smashers $150.00  
    Back to  Two Blue Sticking Point Smashers $150.00  
    Back to  Two Red Sticking Point Smashers $150.00  
    Back to  Samson Cable Set with 5 regular cable strands $115.00  
    Back to  Samson Cable Set with 5 intermediate cable strands $115.00  
    Back to  Extra Regular Cable Strand $10.00  
    Back to  Extra Intermediate Cable Strand $10.00  
    Back to  Baby Amber Cable Strand $  8.00  
    Back to  Large Tapered Wrist Roller - 3" $48.00  
    Back to  Small Tapered Wrist Roller - 2.5"  $36.00  
      Back to  Foam Yoga Block  $15.50  
      Back to  Wood Yoga Block  $25.00  
       
       
  Items omitted from this form available on special order    

                             Total Purchase                -------------------------------------------

             *** Shipping charge for address outside the United States              

                             Total                                 -------------------------------------------

    *Above prices include postage for shipments within the United States.
  **Nutritional Supplements and Miscellaneous not available outside the United States.
***Please add 25% of total purchase ($15.00 minimum) for orders with a shipping address outside the U.S.

FILL IN NECESSARY INFORMATION BELOW - PLEASE PRINT CLEARLY

Name
Mailing Address
City/State/Zip

PDF ORDER FORM FOR PRINTING

You may print out this form and send in your order with a check or money order to:


Dianne Miller

2733 E Battlefield Road #234
Springfield, MO 65804

Order Form for HEALTH AND STRENGTH BOOKS

Order Form for CHRISTIAN BOOKS

Order Form for MISCELLANEOUS BOOKS AND VIDEOS

Order Form for ** NUTRITIONAL SUPPLEMENTS (not available outside the USA)

Order Form for   MISCELLANEOUS ITEMS

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This page was updated on October 7, 2011