Video Order Form

Name:	 ____________________________________________________________

Address: ____________________________________________________________

 	 ____________________________________________________________

City:	 ________________________   State:  _____   Zip:  ___________

Phone:	 ________________________   E-mail:  ________________________


Qty. _____ "Stretch - The Basics" Vol. I $20ea $ _________ Qty. _____ "Upper Body Challenge" $20ea $ _________ Qty. _____ "Lower Body Challenge" $20ea $ _________ Qty. _____ "Taming the Sciatic" $20ea $ _________ Qty. _____ "Give Me A Break" $20ea $ _________ Qty. _____ "Tennis Ball Therapy" $20ea $ _________ Qty. _____ "Have a Ball - And Get Strong" $20ea $ _________ Qty. _____ "Stand For It" $20ea $ _________ California Sales Tax (7.75%) $ _________ (California Residents Only)

S & H ($5.00 first tape, $1.00 each add'l tape) $ _________ (International Orders: $10US first tape, $1US each add'l tape) Total $ _________
Make Check or Money Order payable to Creative Body Works Send To: Creative Body Works P.O. Box 3413
Mission Viejo, CA 92690