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 & patented 3 dimensional design for upper body exercise
$59.95
  $9.00
 $68.95
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
$119.95
  $9.00
 $128.95
S-1
   HYDRO-BELL SYSTEM 1
1 pair of bells, 1 workout video, and exercise chart
$69.95
  $9.00
 $78.95
S-2
   HYDRO-BOOT SYSTEM 2
1 pair of boots, comfort pads, and TPU foot straps, video and exercise chart
$129.95
  $9.00
 $138.95
TS3
(2 items)
   TOTAL SYSTEM 3, No Bag (yellow)
1 pair of bells, 1 pair of boots, video V-3, exercise chart
$184.95
$14.00
 $198.95
           
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
  $9.00
$38.95
WW 2A
   WATER WEIGHT BOOTS, Pair, (teal)
Single section PP boot with comfort pad and velcro straps
$59.95
 $9.00
 $68.95
WW 3A
   MINI-FINS, Pair (yellow)
Small single section boot with velcro straps and foam pad
$49.95
 $8.00
$57.95
           
Belt-L
   HYDRO-BELT (black), Size L/XL
Vinyl-coated flotation belt with two yellow waist straps
Size L/XL: waist 32" to 54"
$49.95
 $8.00
 $57.95
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
 $9.00
 $58.95
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
 $9.00
 $48.95
 PP-1
   POOL PONY FLOTATION DEVICE  (yellow)
Foam flotation device for support with deep water exercises
$49.95
$9.00
$58.95
V-1
   VIDEO FOR UPPER BODY WORKOUT
$9.95
 
 $12.95
V-2
   VIDEO FOR LOWER BODY WORKOUT
$9.95
 
  $12.95
V-3
   VIDEO FOR TOTAL BODY WORKOUT
$14.95
 
  $17.95
V-8
   HYDRO-SCULPT WORKSHOP VIDEO
$14.95
 
  $17.95
EX CHART
   EXERCISE CHART
with exercises for both upper and lower body
$4.95
  
  $5.95
Shipping and Handling Charges:

UPS Ground Service in Continental US as stated after each item

$9.00/item for first item only     Plus $5.00/item for each additional item
For 4 or more items or special shipping:   Call Hydro-Tone for reduced S&H  (800) 622-8663
California Residents add Sales Tax.
Subtotal: Shipping: CA Tax: Total: