Printable Order Form:
 Download the Order Form in PDF Format
Abdominal Training Wheels, Inc
P.O. Box 43141
Jacksonville, FL 32203
abtrainingwheels@yahoo.com
904 861 4606
www.abdominaltrainingwheels.com
Please write legibly or type.
Full Name:
Email Address:
Shipping Address:
Contact Phone:
Color:
(Please put an "X" on the line to indicate which color you would like.)
___Yellow ____Blue
Quantity: ___ x 49.95 + S & H = Total Amount Enclosed
Shipping & Handling:
$10.00 first pair
$8.00 each additional pair
Total Amount Enclosed: $______
(please enclose a cashiers check or money order ONLY)
Special Instructions:
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