IM=X Pilates Equipment Order Form
Fax (212-997-7356) or Mail Form (265 Madison Avenue, 2nd FL, NY, NY 10016)
Please complete the following information:

Name: Company:
Email: Title:
Street Address:
City: State: Zip Code:
Phone: (work) (home)
Method of payment:
Mastercard   Visa   American Express  Discover
Credit card # Expiration date:


ITEM QUANT. PRICE NOTES
IM=X RINGS 29.95
10 or more for $24.95 ea.
BODY BARS (specify weight) $25ea
or 3/6/9 lb bars for $75
VIDEOS
Basic Floorwork $25
IM=X 3-Pack (Basic, Advanced, Pilates) $65
IM=X 5-Pack (Basic, Adv, Pilates,
Ring, Floor Motion)
$105
Or Specify your choice: $25ea
XERCIZERS
Personal Trainer Xercizer (16") $2995
Stackable Xercizer (8") $2995

Prices do not include applicable state taxes or shipping and handling.

 

SIGNATURE: _________________________________________________

Express Orders: Order by telephone using Mastercard, Visa, American Express or Discover. Call 212-997-5550 or 800-IMX-1336


Contact Us: info@xercize.com | 800-IMX-1336 | 212-997-5550

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