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FAX or Mail Order Form

FAX to 813-969-4798
TIFF ( LZ W ) dec om pressor
are needed to see this pic ture.

13014 N. Dale Mabry Hwy. #737

1-877-50-EXPLORAMANIA Tampa, FL 33618
www.exploramania.com
sales@exploramania.com

Company Name: Billing Address

Contact Name: Address 1:
Contact Phone #: Address 2:
Contact E-mail Address: City:
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WHOLESALE VOLUME DISCOUNT SPECIALS

Free Shipping
Wholesale
5-49 Units 50+ Units Available
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TI FF ( Unc om p r esse d) d ecom pr ess or

Price per
per unit $ per unit $ on Large
a r e ne eded t o s ee t h i s pi ct ur e.

Unit
Orders

List Price $24.99 $12.50 $11.25 $10.00

Quantity Unit Price Total PAYMENT METHOD

Exploracise
Check (make payable to Exploramania)
Gymathtics DVD
Purchase Order
Sub-Total
S/H* Purchase Order #
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Total
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* Shipping & Handling based on order quantity VISA MASTER CARD DISCOVER
Basic United Postal Service Shipping will be added for CC or PO orders
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