| 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® |
Or to pay using VISA/Mastercard:
Print and complete this form, including credit card number and expiration date, scan and e-mail it to maryspire@optimalmoves.com or mail it to the address above.
Name:_________________________Phone # :_______________________
Address:______________________________________________________
City:___________________________State:______Zip:_________________
Visa/MasterCard # :_____________________________________________ Exp. Date:___________
Please send me the following order: Product, Quantity, Price, Subtotal
Effortless Use of the Arms and Hands
Please Check One: Musician____ Computer Keyboard User ____
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 9.00% (for CA residents) = $_______
TOTAL ENCLOSED = $_______