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Please Print or Type Information on the Mail/FAX In Order Form

FREE "Play Hard, but Play Safe" t-shirt with orders of 2 or more videos.  

Only orders placed online or using this form will receive the free t-shirt (while supplies last) 

Name:   ______________________________  
Address:   ____________________________   
Address:   ____________________________  
City/State/Zip:  ________________________   
Country:   ____________________________   
Phone:  ______________________________   
Email:   ______________________________   
Date:    ______________________________  

 

PAYMENT METHOD (please circle one):  

VISA    MC    AMEX    Check    Money Order 

CARD #  
   I__I__I__I__I__I__I__I__I__I__I__I__I__I__I__I__I 
Expiration Date (Month) ____     (Year) ____  
Card Holder Name  (please print) _________________________________  

Authorized Signature: 

____________________________________ 

 

 

Cardio Athletic Kickbox II - Play Hard...(DVD) 
  Quantity:  _____          Price:   $10.95  

Cardio Athletic Kickbox - No Holds Barred (DVD)

  Quantity:  _____          Price:   $10.95 

Mat Pilates I - Application & Execution (DVD)

  Quantity:  _____          Price:   $39.00 

Mat Pilates II - Sequencing and Transitions (DVD)

  Quantity:  _____          Price:   $39.00 

Pilates On The Ball (DVD)

  Quantity:  _____          Price:   $39.00 

Stability Ball Manuals by Doris St.  Arnaud -3 Vol Set

  Quantity:  _____          Price:   $30.00 

Cardio Athletic Kickbox (VHS)
  Quantity:  _____          Price:   $9.95 

Cardio Athletic Kickbox II - Play Hard...(VHS) 
  Quantity:  _____          Price:   $9.95   

Cardio Athletic Kickbox Instructor Series I (VHS)

(DVD is entitled "No Holds Barred")
  Quantity:  _____          Price:   $9.95

Hatha Vinyasa Yoga (VHS)
  Quantity:  _____          Price:   $24.95

Kickbox Video Gift Set - 3 VHS Videos (Free t- shirt)
  Quantity:  _____          Price:   $24.95 

 

Mat Pilates and Pilates On The Ball DVDs are only available by phone, using this order form, or using the online order form.

 

Please send payment to:  
Behind the Scenes Fitness  
65 Washington Street, Suite 296  
Santa Clara, CA 95050  (United States)
phone:   1-408-244-4895 

Subtotal (Price x Quantity)                 _______  
Sales Tax (Calif. residents add 9..25%)_______  
USA Shipping (1 DVD)       $4.75 (International Shipping Add $4.00)

Add $1.00 shipping for  each additional
video or manual.                                           ________  

TOTAL                                                     $________    

Feel free to FAX your order to our office. fax #: 408-248-3897

  Click button to order securely online

OR

Order by calling 408-244-4895

 Get a Free "Play Hard, but Play Safe" T-shirt with online orders of 2 or more videos

 

 

 

 

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