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