PRINT THIS ORDER
FORM AND MAIL WITH PAYMENT
PO Box 224 |
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Circle Payment Method: Check Money Order Visa MasterCard |
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| Name:(print & signature) | |
| Address: | |
| City: | Credit Card Number: |
| State & Zip: | Expires: |
| Telephone: | Email address: |
Item Name and Description |
Price Each |
Quantity |
Total |
S'port Backer (2 for $60) |
$35.00 |
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Back-Up (2 for $90) |
$50.00 |
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The Original ActiVest (Includes a FREE S'port Backer) |
$110.00 |
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ActiVest Sport (Includes a FREE S'port Backer) |
$110.00 |
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Subtotal: |
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Shipping and Handling: |
FREE! |
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Wisconsin Residents Please Add 5.5% Sales Tax: |
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Please allow 3 - 4 weeks for delivery. |
Total : |
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