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Order Form

www.yourbodytransformations.com

First Name _______________________________________ Last Name _______________________________________ Email

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Home Phone ______________________________________ Cell Phone ______________________________________ Ship Address ______________________________________ City

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Zip Code

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State

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Product Required ___________________________________

Color ……. [ ] White Payment ….. [ ] Cash CC Type ….. [ ] Visa CC #

[ ] Black [ ] Check [ ] AMEX

[ ] Beige [ ] CC [ ] Mastercard

[ ] Discover

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CC Expiration (month/year) __________________________ CVV

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Name as it appears on CC _________________________________________________ Order Number _____________________________________ Confirmation Number ________________________________ Expected Delivery Date ______________________________ How did you hear about us ? ___________________________ Notes

To calculate tax : 0.0 followed by tax percent, then multiply by selling price. For example with a tax of 6.7% and a selling price of $140 then tax will be 0.067 times $140 which gives $9.38


Ardyss Body Magic Order Form