| |
| Life Improvement Unlimited | 6321 Lindenhurst Ave., Los Angeles, CA 90048 | (310) 478-2993 Fax: (310) 575-0560 email: alweber@webTV.net | | INDICATE YOUR PACKAGE CHOICES - A,B,C, and D. SEE DESCRIPTION ABOVE OR BELOW ORDER FORM. |
| | Date: | 200___ | SHIP TO: | Name: | Position: | Company Name: | City: | State and ZIP Code: | Phone No. | PAYMENT BY - | Order by check, money order, company purchase order form, credit card or PayPal. | IF PAYING BY CREDIT CARD: (check one) | MasterCard | Visa | Amex | | Card No. | Exp. Date: | Print Name: | Sign Name: | 30 DAY MONEY BACK GUARANTEE |
| |
| |
| PACKAGE | QTY. | UNIT COST | TOTAL | A | | | $ | B | | | $ | C | | | $ | D | | | $ | | | S and H* | $ | | | TOTAL | $ |
|
| | |
| |
| PACKAGE A - RACK ITEM contains - One Air 'N Water ROLL-A-GYM™ Plus, Clear Vinyl Travel Bag, 12" x 12", Full Exercises - 11" x 14" card. Choice of Header, contact us for a complete list - $19.95 | PACKAGE B - BOXED ITEM contains - One Air 'N Water ROLL-A-GYM™ Plus, Clear Vinyl Travel Bag, 12" x 15", 30 Minute Instructional Video, 24" x 36" Wall Chart - $29.95 | PACKAGE C - BOXED ITEM contains Same contents as B above PLUS The Daily RE-MIND-ER for body, mind and spirit! - $39.95 | PACKAGE D contains - BOXED ITEM Same contents as B above with 2 Air 'N Water ROLL-A-GYMS™. - $49.95 | *SHIPPING & HANDLING - $3.95 for orders under $100 | NO SHIPPING & HANDLING for orders over $100 |
| | |
|  | | |
| |
| |
|  | | |
| |
|  | | | | | | | | | | |
