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Oxycise! International, Inc. |
TOLL FREE!
1-800-OXYCISE
(699-2473)
(303)224-0586 (International calls)
Ambassador Order Form
Ambassadors may not sell below retail price.
| 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 |
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| Ambassador Discount (deduct from subtotal) |
% |
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| Ambassador Distributor Subtotal | ||||
| Ambassador Registration Fee, one time (non-refundable) | $15.00 | |||
Media Mail - USA only |
Shipping & Handling |
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Priority Mail |
Shipping & Handling |
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| Shipping & handling to all other countries: (based on subtotal price) Note: Customer is responsible for local duties and taxes Up to $15.00 add $19.00 $15.01 to $50.00 add $31.00 $50.01 to $100.00 add $41.00 |
Shipping & Handling |
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| Colo. residents add 3.8% sales tax | ||||
TOTAL |
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Name __________________________________________________________________________
Address ________________________________________________________________________
City ________________________________State _________________ ZIP __________________
Ph (______) _____________________ E-mail __________________________________________
| ___ Master Card ___ VISA
___ AMEX ___ Money Order ($US) ___ Check (only checks from US banks) Card # _________________________________ Exp. Date _________________________________ Signature _________________________________________________________________________ Telephone (______)_____________________Best Time to Call______________________________ |
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