The In-Home Personal Trainer DVDs order form

The In-Home Personal Trainer DVDs
Response Form

___Yes, Jim. I would like to purchase The In-Home Personal Trainer DVDs. I understand that with this hands-on program I'll get 4 super-informative DVDs, including one for lower body exercises, two for upper body exercises and one for supplementary exercises. I also understand that if I order now, these videos are only $97 plus (S&H).

If you don't want to pay online, you may also call our 24-Hour Order Line at: 1-800-845-9016 to place your order OR you can FAX this form to 301-309-0051.

___ Enclosed is my check, money order or credit card order for $________ plus $ ________ S&H



Charge my (Note: You can use more than one card to complete this order): 




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Card Number:____________________________________ Exp. Date:______________ 





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Print Name: __________________________________________ 





Address: __________________________________________ 





City: _____________________________ State: ___________________________ 





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Or Mail This Form To:

Coughlin Fitness & Results, LLC

7602 Coddle Harbor Lane

Potomac, MD 20854