FREE "Play Hard, but Play Safe" t-shirt with orders of 2 or more videos.  

Only orders placed online or using this form will receive the free t-shirt (while supplies last) 

Name:   ______________________________  
Address:   ____________________________   
Address:   ____________________________  
City/State/Zip:  ________________________   
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Phone:  ______________________________   
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Date:    ______________________________  

PAYMENT METHOD (please circle one):  

VISA    MC    AMEX    Check    Money Order 

CARD #  
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Cardio Athletic Kickbox II - Play Hard...(DVD) 
  Quantity:  _____          Price:   $10.95  

Cardio Athletic Kickbox - No Holds Barred (DVD)

  Quantity:  _____          Price:   $10.95 

Mat Pilates I - Application & Execution (DVD)

  Quantity:  _____          Price:   $39.00 

Mat Pilates II - Sequencing and Transitions (DVD)

  Quantity:  _____          Price:   $39.00 

Pilates On The Ball (DVD)

  Quantity:  _____          Price:   $39.00 

Stability Ball Manuals by Doris St.  Arnaud -3 Vol Set

  Quantity:  _____          Price:   $30.00 

Cardio Athletic Kickbox (VHS)
  Quantity:  _____          Price:   $9.95 

Cardio Athletic Kickbox II - Play Hard...(VHS) 
  Quantity:  _____          Price:   $9.95   

Cardio Athletic Kickbox Instructor Series I (VHS)

(DVD is entitled "No Holds Barred")
  Quantity:  _____          Price:   $9.95

Hatha Vinyasa Yoga (VHS)
  Quantity:  _____          Price:   $24.95

Kickbox Video Gift Set - 3 VHS Videos (Free t- shirt)
  Quantity:  _____          Price:   $24.95 

Mat Pilates and Pilates On The Ball DVDs are only available by phone, using this order form, or using the online order form.

Please send payment to:  
Behind the Scenes Fitness  
65 Washington Street, Suite 296  
Santa Clara, CA 95050  (United States)
phone:   1-408-244-4895 

Subtotal (Price x Quantity)                 _______  
Sales Tax (Calif. residents add 9..25%)_______  
USA Shipping (1 DVD)       $4.75 (International Shipping Add $4.00)

Add $1.00 shipping for  each additional
video or manual.                                           ________  

TOTAL                                                     $________