“CIRCULATOR” FOOT MASSAGE MAT
ORDER FORM
for orders from the
Please
note: If you are a wholesale customer, please contact us for wholesale
pricing and opportunities.
Price is in U.S. dollars.
|
Please send me _______F.M.
Circulator® foot massage mat(s) at $39.95 each |
|
$ |
|
|
Shipping & Handling: $9.95 one mat + $2.95 each
additional |
|
|
|
|
Total |
$ |
|
|
I enclose full payment in the form
of
cheque money order
Please make cheques and money orders
payable to K. Baggio.
Name ___________________________________________
Address _________________________________________
____________________________________________
City ____________________________________________
State ___________________
Zip Code _______________
Telephone ( )_____-________ Fax ( )_____-________
Signature
________________________________________________
Mailing address: The Circulator
c/o Baggio