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ORDER FORM
$350.00 for Post Rehabilitation Fitness©™ Low Back Course. A great offer for a truely professional tool!
Product List:
Post Rehabilitation Fitness - Low Back Course©™ ____x @ $45.00 = _______
CA residents add 7.75% tax $___________
$10.00 Shipping/handling ea.(USA) $___________ {$25.00 outside the USA}
TOTAL Amount due $______.____
Name __________________________ Printed name
Signature________________________________orders
not shipped w/o signature
Address: Street_________________________ Bldg.____________ City ________________________ State_____, Zip______-____
Contact Phone Number: (_____) ___--______
42 San Roque Rd. Santa Barbara, CA 93105-2835 For further information call:
- (805) 687-1832 - (Voice box #2) Sales are final - Liability limited to working
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All Rights Reserved. / TM Trademark F.I.
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