Order Form

To Order:
** Required Information

	**Name
	**Street address
	Address (cont.)
	**City
	**State/Province
	**Zip/Postal code
	**Phone
	FAX
	**E-mail

**Choose one of the following options:

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Cardholder name

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Expiration date

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Vol. 1 Consumer Version #00201 $49.95 (includes Body-fat calipers)

Vol. 2 Professional Version #00202 $69.95 (No calipers)

Item # Qty Price Total

Merchandise Total

Shipping & Handling

Shipping and Handling: 1 unit-$4.00 2-6 units-$6.00 6-12 units-$8.00

NY residents add 7.25%

NJ residents add 6%

Total amount due

90 day warranty against defects. Return to Personal Fitness Products. Opened software may not be returned otherwise, unless authorized by Personal Fitness Products. (888) 349-7289.