FaxPrintO FB andSale

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					                              7489A Mansion Circle • Mason, OH 45040
                                  513-277-1938 Fax: 513-336-8234
                        bill@coachbilljacobs.com • www.CoachBillJacobs.com
                        FAX & PRINT FORM – Jump Stretch Flex Bands
                                           Buy One, Get One ½ Off Sale

                                               Shipping Information
                Name:                                                             Date:
                Company:
                Address:
                City:                                         ST:                 Zip:
                Email:
                Phone:

 QTY                                    ITEM                                           UNIT PRICE           Line Total
         10 lb. Micro Band                                                                $5.00
                                                                    nd
         10 lb. Micro Band                                  Get a 2 for ½ Price           $2.50
         25 lb. Mini Band                                                                $12.00
                                                                    nd
         25 lb. Mini Band                                   Get a 2 for ½ Price           $6.00
         35 lb. Monster Mini Band                                                        $15.00
                                                                    nd
         35 lb. Monster Mini Band                           Get a 2 for ½ Price           $7.50
         50 lb. Light Band                                                               $22.00
                                                                    nd
         50 lb. Light Band                                  Get a 2 for ½ Price          $11.00
         75 lb. Average Band                                                             $25.00
                                                                    nd
         75 lb. Average Band                                Get a 2 for ½ Price          $12.50
         100 lb. Strong Band                                                             $30.00
                                                                    nd
         100 lb. Strong Band                                Get a 2 for ½ Price          $15.00
         125 lb. Monster Band                                                            $60.00
                                                                    nd
         125 lb. Monster Band                               Get a 2 for ½ Price          $30.00
                                                                                             Subtotal:
                                                                                   Shipping/Handling:
                             Thank you for your Business!                                       Total:


                           Shipping Information & Cost - We ship USPS or UPS ground
  Amount Spent              $.00 - $25           $25.01 - $50           $50.01 - $75                  Over $75.01
  Shipping Cost               $9.95                 $12.95                $18.95                    Add $1.00 per $25

                         Payment Information - Credit Card Statement will read JUMP STRETCH
Card Type:      ˉ MC        ˉ VISA      ˉ AMEX
Card Number:                                                      Code:                        Exp. Date:

Name on Card:                                                             Signature:

ˉ Paying by Check (Mail to address above) Note: Items will ship when payment is received
ˉ Terms: Net 15 - Purchase Order & Signature Required PO #
     SALE PRICE NOT VALID beyond the TERMS given. Price will revert back to Full Price.
Payment Received:                                            Order Shipped:

				
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posted:7/26/2012
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