ORDER FORM for ACCESSORIES and EQUIPMENT

Print this form and mail or fax to:
Sally Stanton Total Fitness
1143 W Memory Lane
Santa Ana, CA 92706
Newport Beach, CA 92659-1309		 Orange County, CA: 949-466-8770
Toll Free: 949-466-8770
Fax: 949-466-8770
Email: [email protected]
Ship to: Bill to (if different):
Name:  
Address:  
City, St, Zip:  
Phones:  
Email/Fax:  
Signature  
New Customer Returning Customer


Payment Method card # ()Visa ()M/C check #
Exp. Date: month______year_______
Signature Cardholder
Checks payable to: Sally Stanton Total Fitness

 

Item Name Description & Instructions Qnty Price Total
         
         
         
         
         
         
Subtotal
Please leave shipping amount blank if ordering more than 2 items
 Shipping: $6.00
CA residents only: add 7.75% tax
TOTAL $

OD:_________Rvd:___Sce:_________ SD:____________Via:____________