Mary Spire
Mary Spire

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Product Order Form

To pay by check or money order:
Print and complete this form, enclose your check or money order made payable to Mary Spire, and send it to:

Optimal Moves®
P.O. Box 8026
Berkeley, CA 94707
Fax : 510-528-3174

To pay using VISA/Mastercard:
Print and complete this form, including credit card number and expiration date, and fax or e-mail it to maryspire@optimalmoves.com.

Name:_________________________Phone # :_______________________

Address:______________________________________________________

City:___________________________State:______Zip:_________________

Visa/MasterCard # :_____________________________________________ Exp. Date:___________

Please send me the following order:
Product Quantity Price    
Subtotal
 
Increasing Your Mobility and Flexibility:        
Six Beginning Lessons      
Cassette Tape Set
 ______ @$35 =$_______
CD Set
 ______ @$40 =$_______
 
Five Intermediate Lessons      
Cassette Tape Set
 ______ @$40 =$_______
          CD Set ______ @$45 =$_______
     
Effortless Use of the Arms and Hands      
Please Check One: Musician____   Computer Keyboard User ____  
Set of three Cassette Tapes ______ @$43 =$_______
CD Set ______ @$48 =$_______
       
Effortless Use of the Arms and Hands II    
          CD Set ________ @$48 =$_______
       
Postage and Handling First Item $5       $5.00
  Each Additional Item $3 =$_______
 
California Sales Tax 8.75% (for CA residents)   =$_______
 
TOTAL ENCLOSED     =$_______

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