Ambassador Order Form

Item	Quantity	Price	Total
Level One Video Set (2 videos)		$29.95
Level Two Workout		$19.95
Level Three Workout		$19.95
Level Four Workout		$19.95
Abs & Upper Body Workout		$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		$19.95
Easy Does It! Level Three Workout		$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
Current Special:
Current Special:
All prices are US dollars.		Subtotal
Ambassador Discount (deduct from subtotal)		%
Ambassador Distributor Subtotal
Ambassador Registration Fee, one time (non-refundable)		$15.00
Shipping & handling within US and Canada: (based on subtotal price) 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
Shipping & handling to all other countries: (based on subtotal price) 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 $31.00		Shipping & Handling
Colo. residents add 3.8% sales tax
		TOTAL

Address ________________________________________________________________________

City ________________________________State _________________ ZIP __________________

Ph (______) _____________________ E-mail __________________________________________