FITNESS PRODUCTS ORDER FORM

PRODUCT	QTY	PRICE EACH	TOTAL
FatTrack II		$45.99
Accu-Measure		$19.95
Reebok Fitness Trainer		$119.00
Reebok Precision Trainer		$159.00
		Subtotal
		S/H
		TOTAL

Shipping & Handling per item

FatTrackII	$7.50
Accumeasure	$6.00
Reebok Trainers	$7.50

SOLD TO:

First Name	MI	Last Name

Address

City	State	Zip

Phone	Email

PAYMENT METHOD:
check__ money order__ Visa__ MasterCard__ Discover__ American Express__

card number (if applicable)

signature and expiration date (month/year)

MAIL TO:
Wally Boyko Productions, Inc.
P.O. Box 2490
White City, OR 97503
(541) 830-0400