Hydro-Tone Order Form

Direction: Please print this form, fill it out and either fax it or mail it to Hydro-Tone.  If you fax your order, you may call in the credit card information for added security.
Fax: (714) 998-8799    Voice: (800) 622-8663  Address:2468-A North Glassell St., Orange, CA 92865
 

Sold To:			Ship to:
Co. or Name:			Co. or Name
Attn:			Attn:
Address:			Address:
City:	State:		City:	State:
Phone:  (      )	Zip:		Phone   (      )	Zip:
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Other:			Other:

Payment Method (check one) Check   C.O.D   Cash   Credit Card

Credit Card Information: Credit Card Number:  Expiration Date:  Signature:  Billing Address for Credit Card if different from sold to: Total Order Amount = $_____________.

Item # QTY Description Suggested Retail S&H Total Price  Incl. S&H PR-1   PAIR OF HYDRO-BELLS (yellow) Specially designed hand-held device of high impact plastic & patented 3 dimensional design for upper body exercise $59.95  $10.00  $69.95 PR-2   PAIR OF HYDRO-BOOTS (yellow) 3 section fins of high impact plastic with TPU footstraps and foam cushion pads for lower body exercise $129.95  $10.00  $139.95 S-1   HYDRO-BELL SYSTEM 1 1 pair of bells, 1 workout video, and exercise chart $69.95  $10.00  $79.95 S-2   HYDRO-BOOT SYSTEM 2 1 pair of boots, comfort pads, and TPU foot straps, video and exercise chart $139.95  $10.00  $149.95 TS3 (2 items)   TOTAL SYSTEM 3, No Bag (yellow) 1 pair of bells, 1 pair of boots, Instructional DVD-3, exercise chart $199.95 $16.00  $215.95             WW 1   WATER WEIGHT BELLS, Pair (teal) Speically designed hollow PE plastic dumbells with end caps, fill with air for buoyancy or with water for neutral buoyancy. $29.95  $10.00 $39.95 WW 2A   WATER WEIGHT BOOTS, Pair, (teal) Single section PP boot with comfort pad and velcro straps $59.95  $10.00  $69.95 WW 3A   MINI-FINS, Pair (yellow) Small single section boot with velcro straps and foam pad $49.95  $10.00 $59.95             Belt-L   HYDRO-BELT (black), Size L/XL Vinyl-coated flotation belt with two yellow waist straps Size L/XL: waist 32" to 54" $52.95  $10.00  $62.95 Belt -S/M   HYDRO-BELT (black), Size S/M Vinyl-coated flotation belt with two yellow waist straps Size S/M: waist 24" to 34" $49.95  $10.00  $59.95 Belt -P   PETITE HYDRO-BELT (black) Petitie flotation belt for children and cross trainers Size: Petite: Waist 16" to 38", Foam Length= 20" $39.95  $10.00  $49.95  PP-1   POOL PONY FLOTATION DEVICE  (yellow) Foam flotation device for support with deep water exercises $52.95 $10.00 $62.95 DVD-1   DVD FOR UPPER BODY WORKOUT $14.95     DVD-2   DVD FOR LOWER BODY WORKOUT $14.95     DVD-3   DVD FOR TOTAL BODY WORKOUT $19.95     V-8   HYDRO-SCULPT WORKSHOP VIDEO $14.95     EX CHART   EXERCISE CHART with exercises for both upper and lower body $4.95     SHIPPING AND HANDLING CHARGES: UPS Ground Service in Continental US as stated after each item $10.00/item for first item only     Plus $6.00/item for each additional item For 4 or more items or special shipping:   Call Hydro-Tone for reduced S&H  (800) 622-8663 For Shipments in the state of California only, add CA Sales Tax of 8% or the correct Sales Tax for your CA county. Subtotal: Shipping: CA Tax: Total: