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Ambassador Customer Order Form
| Item | Quantity | Price | Total | |
| Level One Video Set (2 videos) |
$29.95 | |||
| Level Two Workout Video | $19.95 | |||
| Level Three Workout Video | $19.95 | |||
| Level Four Workout Video | $19.95 | |||
| Abs & Upper Body Workout Video | $19.95 | |||
| Buns & Thighs 1 Video Workout | $19.95 | |||
| Buns & Thighs 2 Video Workout | $19.95 | |||
| Easy Does It! Level One Video Set (2 videos) | $29.95 | |||
| Easy Does It! Level Two Workout Video | $19.95 | |||
| Easy Does It! Level Three Workout Video | $19.95 | |||
| Oxycise! Book | $14.95 | |||
| Fuel for Success! Book | $12.95 | |||
| Chart Your Success! Book | $12.95 | |||
| CD-Commuter Routine | $14.95 | |||
| Commuter Audiotape | $14.95 | |||
| Vinyl Tape Measure | $2.95 | |||
| All prices are US dollars. |
Subtotal |
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| Shipping &
handling within US and Canada: (Note: Canadian orders are shipped directly from Toronto, Ontario.) Up to $15.00 add $3.45 15.01 to 50.00 add $5.90 50.01 to 100.00 add $7.90 |
Shipping & Handling |
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| Shipping &
handling to all other countries:
(Note: Customer is responsible for local duties and taxes) Up to $15.00 add $9.00 15.01 to 50.00 add $22.00 50.01 to 100.00 add $30.00 |
Shipping & Handling |
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| Colo. residents add 3.8% sales tax | ||||
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TOTAL |
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Name __________________________________________________________________________
Address ________________________________________________________________________
City ________________________________State _________________ ZIP __________________
Ph (______) _____________________ E-mail __________________________________________
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