Please print and either mail completed form with credit card information to the address below or fax it to (toll-free) 866-345-3018 or to 561-746-8985.

 

Ideal Fitness, Inc.
P.O. Box 244582
Boynton Beach, FL 33424

logo_final_bw.bmp IDEAL FITNESS
ORDER FORM

QTY

ITEM #

ITEM NAME

PRICE EACH

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

S & H*

$00.01 - $19.99

$8.25

$20.00 - $49.99

$9.50

$50.00 - $99.99

$13.75

$100 - $199.99

$19.75

$200 and Up

$30.50

*In effect until 12/31/2007

SUBTOTAL:

_______

SHIPPING & HANDLING:
(See at left if order weighs less than 20 lbs.) Otherwise, we will e-mail you with the shipping cost.

_______


TOTAL AMOUNT:

_______


BILL TO (MUST MATCH YOUR CREDIT CARD BILLING ADDRESS):

FIRST NAME:

LAST NAME:

STREET ADDRESS (NO PO BOXES):

LINE 2 IF NECESSARY:

CITY:

STATE:             ZIP CODE:

PHONE:

E-MAIL:

 

SHIP TO (if different):

FIRST NAME:

LAST NAME:

STREET ADDRESS (NO PO BOXES):

LINE 2 IF NECESSARY:

CITY:

STATE:             ZIP CODE:

PHONE:

E-MAIL:


CREDIT CARD INFORMATION:

__ Visa
__ MasterCard
__ Discover
__ AmEx

CARD # : ____________-____________-____________-____________

EXP DATE: ______ /_______

CVV (3-DIGIT # ON BACK OF CARD): ________

Signature: __________________________________     Date: ______________