Train Your Brain

 
 

Order Form

 
     
  Directions  
  1. Print order form  
  2. Complete Information  
  3. Mail order form with a Check or Money Order to  
     
  TRAIN YOUR BRAIN, LLC  
  103 Central Avenue  
  Stirling, New Jersey 07980  
  USA  
     
 

S H I P    T O : 

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T E L E P H O N E :

Business: (         ) _________________________________

Home:      (        ) _________________________________

 

Check is enclosed # ______________________________

Purchase Order is enclosed # ______________________    

 
       
     
      Type

Quantity

 

Unit Price

     
  ORAL AEROBICS DVD

____

x $45.00 = $ _____  
    VHS ____ x $45.00 = $ _____  
               
  SOUNDS the LETTERS MAKE DVD

____

x $50.00 = $ _____  
    VHS ____ x $50.00 = $ _____  
 

  - New Jersey Residents add 7% Sales Tax:

        = $ _____  
 

  - Postage & Handling:

  $5.00 EACH video =
$ _____
 
                 
             

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Total:

  $_____  
                    
  - Please make check or money order payable to 'Train Your Brain, LLC'.  
  - Please allow four to six weeks for delivery.  
  - If defective, return to TRAIN YOUR BRAIN,LLC for replacement within 35 days from date mailed to you.