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Print out this form and use it to mail or fax in your order.
Please print clearly when completing the form to ensure that your order is processed accurately. |
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Fax in this completed form to: +1.513.398.6363 |
| Or, mail this form to: Slo-N-Ez, LLC, 4860 Riverwalk Drive, Kings Mills, OH 45034-9724
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City/State/Zip Code: |
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I would like to order the following products from the Slo-N-Ez.com, LLC web site: |
| Item Description |
Item Number |
Quantity |
Price Each |
Total |
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| Shipping Cost Chart (Within Continental U.S. Only) |
| Item Ordered |
Shipping Cost
Per Item |
| Resistance Chair |
$65.00 |
| Videos, apparel, and accessory items
(If ordered indivdually) |
$12.00 |
| Additional videos, apparel, and accessory items
(cost for each additional item added to order.) |
$8.00 |
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Orders shipped to Alaska and Hawaii must be shipped "2nd Day Air". The cost to ship the Resistance Chair via 2nd Day Air is $135.00. To calculate shipping charges for international orders, please call customer service at +1.513.398.2761, Monday through Friday, 9:00am to 5:00pm Pacific Time.
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If paying by check, please make check payable to "Slo-N-Ez, LLC". Orders paid with credit card, money order or cashier check will be shipped immediately. Orders paid with personal check will be held until payment of funds is verified, which can take up to two weeks. Check payments must be in U.S. funds only. Only personal checks or cashier's checks from U.S. banks are accepted. Money orders must be from U.S. bank or U.S. Postal money order. Please, no foreign money orders or foreign personal checks.
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| Subtotal: |
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| Plus Sales Tax (OH only - 7.50%): |
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| Plus Shipping (use chart at left): |
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| Total Enclosed: |
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| Payment Method (please check one) |
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Check or money order enclosed |
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Please charge my credit card |
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| Card Type (circle) |
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| VISA |
Mastercard |
AMEX |
Discover |
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| Account No.: |
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| Expiration Date: |
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| Signature: |
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| If you have any questions, please contact us at: +1.513.398.2761.
Thank you for your order. |
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4860 Riverwalk Drive, Kings Mills, OH 45034-9724
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