|
FAX - MAIL ORDER – MONEY ORDER - ABSOLUTEMUSCLE.COM
Please, print this Form and write in Capital Letters (no lower case please)
Mailing Address: ABSOLUTE MUSCLE, 8581 Santa Monica Blvd. #484 West Hollywood, CA 90069
|
Name
|
| |
Address
|
| |
City
|
| |
State
|
| |
Zip Code
|
| |
Country
|
| |
Email Address
|
|
Billing Information
| |
|
CHECK YOUR TYPE OF CARD
| |
Type of Card
|
Visa - Amex - Diners - Discover - MasterCard - Money Order
| |
|
No credit card? Send money order or International Money Order to: ABSOLUTE MUSCLE with this form to the address above.
| |
Card Number
|
| |
Exp Date
|
| |
|
|
Shipping Information
| |
|
| |
If the same as Shipping, leave blank.
| |
|
| |
Name
|
| |
Address
|
| |
City
|
| |
State
|
| |
Zip Code
|
| |
Country
|
| |
|
|
Product Item
|
| |
VIDEO
Title: VHS or DVD Quantity
|
|
$ 39.95
|
| |
|
USA Shipping / Handling
|
|
$ 5.00 | |
|
International Shipping / Handling
|
|
$ 11.00 |
| |
|
CA resident only Tax
|
|
$ 3.20/Unit |
Your Signature
|
X____________________________ |
TOTAL $__________
|
| |
| |
Your Credit Card will be charged the day of shipping.
|
| |
FAX ORDER: (310) 201-0701 or MAIL ORDER AT THE ADDRESS ABOVE
|
| |
|
|
| |
Print This Page by Clicking HERE
|
|
|
|
|
|
|