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:
Fax:  (      ) Fax:   (      )
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 & 3 dimensional design for upper body exercise plus exercise chart
$69.95
 $14.00
 $83.95
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 plus exercise chart with directions to attach the strap to the boot

$149.95
 $14.00
 $163.95
TS3
(2 items)
  TOTAL SYSTEM 3 (yellow)
1 pair of bells, 1 pair of boots, Instructional DVD-3, exercise chart, no bag
$214.95
$20.00
 $234.95
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
 $14.00
$43.95
WW 3A
  MINI-FINS, Pair (yellow)
Small single section fin with velcro straps and foam pad
$59.95
 $14.00
$73.95
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
 
 
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

$14.00 for first item. Add $6.00/item for each additional item. E.g., the total shipping cost of 2 pair of Hydro-Bells, or 1 pair of Bells and 1 pair of Boots would be $20.00.
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 9% or the correct Sales Tax for your CA county.
Subtotal: Shipping: CA Tax: Total: