PURCHASE FORM

INSTRUCTIONS: 

Print Form

  1. Complete this purchase form.
  2. Print and mail with payment to:

Mark Grevelding/Fit Motivation
619 Fairmount Ave
Rochester, NY 14626
markgrev@aol.com


Shipping Costs:
1-2 items: $2.00 | 3-4 items: $3.00 | 5-6 items $5.00
   

First Name
Last Name
Address 1
Address 2
City
State
Zip
Email
Telephone
 
Please make your selections below:
 

Liquid DVD $34.00 each

 CDs $24.00 each DVD & CD $49.00
Liquid Hi/Lo and Liquid Flex & Flow** Best of Aqua Hits DVD & CD Package
Tribal Exotique DVD & CD Package
Order Order Liquid DVD with both CDs $69.00
* * This DVD is approved for 3.0 AEA CECs. Quiz and home-study handout are included with purchase. There are additional fees when quiz is submitted for continuing education credits.
 

H2O/Fluid DVD $34 Each

 CDs $24.00 each DVD & CD $49.00
H2O Choreo to Go & Fluid Strength Combos* Curves DVD & CD Package
Timeless Pop DVD & CD Package
Order H2O Choreo to Go & Fluid Strength Combos with both CDs $69.00
* This DVD is approved for 3.0 AEA CECs. Quiz and home-study handout are included with purchase. There are additional fees when quiz is submitted for continuing education credits.

DVDs $20.00 each

 CDs $24.00 each DVD & CD $39.00
Deep Core Challenge Lovin' the 60s DVD & CD Package
Smooth H2O Curves 23 DVD & CD Package
Deep Infusions Step Back in Time DVD & CD Package
Total Ball/Total Body Old School DVD & CD Package
Combat Aqua Girls Night Out 3 DVD & CD Package
Yoga Pilates Plus
In Abba's Arm CD $15.00
Method of Payment: Check   Visa  Mastercard
  

(Please make checks payable to Fit Motivation)
  
Amount Enclosed: include shipping  (1-2 items: $2; 3-4 items: $3; 5-6 items $5)
Credit Card Number
Expiration Date MM  YY
Name on Card
Signature
Comments or Special Instructions:

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