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ORDER FORM

©™

$350.00 for Post Rehabilitation Fitness©™. A great offer for a truely professional tool!

Product List:

Post Rehabilitation Fitness©™ ____x @ $350.00 = _______

Total from above $___________

CA residents add 7.75% tax $___________

$10.00 Shipping/handling ea.(USA) $___________ {$25.00 outside the USA}

TOTAL Amount due $______.____

Name __________________________ ______________________

Printed name

Signature________________________________orders not shipped w/o signature

Address: Street_________________________ Bldg.____________

City ________________________ State_____, Zip______-____

Contact Phone Number: (_____) ___--______

Orders accompanied by Personal or Company checks shipped upon clearance of funds. All prices quoted in US Dollars and paid in US Dollars.
Send Check or Money Order to F.I. International™
42 San Roque Rd. Santa Barbara, CA 93105-2835 For further information call: - (805) 687-1832 www.postrehabfitness.com

Sales are final - Liability limited to working Video format (does it work on your video player)