Anklemate Exercise Aid Order Form for the USA  
Product Quantity Price (US $) Total
Anklemate Exercise Aid in Varnished Wood   95  
Anklemate Exercise Aid in Green   95  
Anklemate Exercise Aid in Light Blue   95  
Anklemate Exercise Aid in Navy Blue   95  
Anklemate Exercise Aid in Red   95  
Anklemate Exercise Aid in White   95  
Anklemate Exercise Aid in Yellow   95  
_________________________________________________ _______ __________ _________
Delivery Charge ($65)  
Total________________________________________________________________ _________

Name:
Address:
 
Telephone Number (in case of queries):
E-mail Address (in case of queries):

Payment
Please make cheques payable to Musmate Ltd.

Send Payment to:
Musmate Ltd, P.O.Box 3976, Bath, Somerset, BA1 0DF, UK. Telephone 0845 094 4674, fax 0845 094 4674,
e-mail
sales@musmate.co.uk
A company registered in England and Wales, No. 5671724.