Phone, Fax or Mail Your Order!

DYNAMIC
BODIES

"Your guide for a dynamic body"

Offline Order Form

Phone orders call
520-400-9573

(please print this screen for use with all mail orders)

Personal Information

This is the address to which your receipt will be sent and also the address to which products will be shipped unless otherwise specified below.

Product (s) you are ordering (Please be specific):

_____________________________________________________________________

Name:________________________________________________________________

(please include your preferred nickname if applicable)

Address:______________________________________________________________

City:__________________________________________________________________

State:_________________________________________________________________

Zip:___________________________________________________________________

Day Phone:_____________________________________________________________

Evening Phone:_________________________________________________________

E-mail Address:_________________________________________________________

Shipping Information

Only complete this area if you would like the products to be shipped to an address other than the one listed above (i.e. a gift)

Name:_________________________________________________________________

Address:_______________________________________________________________

City:__________________________________________________________________

State:_________________________________________________________________

Zip:___________________________________________________________________

E-mail address for info products____________________________________________

Select your credit card type:

___Visa

___MasterCard

___Discover

___American Express

Name as it appears on card_______________________________________________

Credit Card Number_____________________________________________________

Expiration Date (mm/yy)_________________________________________________

Total $ amount of order__________________________________________________

_____________________________________________________________

Phone Orders..........520-400-9573 (VISA/MC/DISCOVER/AMEX)

Fax orders.............520-400-9573 (VISA/MC/DISCOVER/AMEX)

U.S. Mail................ Dynamic Bodies

P.O. Box 14192

Tucson, AZ. 85732-4192

Make checks payable to Dynamic Bodies

Thank You For Your Order!

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