Fax order

FC Fax Order Form

You can purchase many FitCentric Products by fax order and avoid the risk of CreditCard information entering the Internet. Fill this out, review your order and print it

FitCentric Fax order form-- 9096254504

Name_____________________________________________

Address_____________________________________________________________________________________________

City___________________________________________

State or Province___________________________________

Country_______________________________

Zip Code______________________________

Telephone #___________________________

Credit Card_________________________

Credit Card number__________________________________

Expiration Date:__________________

CCV # (back of card)_____________________________

FitCentric Product_______________________Price________________

FitCentric Product_______________________Price_________________

Shipping is via UPS. Choose priority (circle)-- Overnight, 2 day,or Ground. We will add the shipping cost to your order)

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________