Body Sculpting Printable Order Form
FAX this form To:
1-503-961-1462
Or
Mail This Order Form To:
Baran, Inc.
6312 SW Capitol Hwy. #444
Portland, OR 97239
___ Enclosed is my check, money order or credit card order for __________ copy(s) of Body Sculpting Bodyweight Exercises for Women Book
for $29.95 plus $7.00 US S&H ($17 Canada, $34 foreign orders) each.
Totalling $_____________._______
Please make checks payable to Baran Inc.
___ Enclosed is my check, money order or credit card order for __________ copy(s) of Body Sculpting Bodyweight Exercises for Women Book and DVD Package
for $119 plus $10.00 US S&H ($20 Canada, $37 foreign orders) each. (Please make checks payable to Baran Inc.)
Totalling $_____________._______
Charge my (Note: You can use more than one card to complete this order):
Type of Card: ____________
Card Number:________________________________________ Exp. Date:_______
Type of Card: ____________
Card Number:________________________________________ Exp. Date:_______
Type of Card: ___________
Card Number:________________________________________ Exp. Date:_______
Signature: __________________________________________
Print Name: _______________________________________________________________________
Address 1: _________________________________________________________________________
Address 2: _________________________________________________________________________
City: ______________________________________ State: ______________
Zip Code: _______________________Country: _________________________________
Telephone: _______________________________________________
Fax Number: _____________________________________________
E-Mail: __________________________________________________
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