BodyWorks.com, Inc.- Mail / Fax Order Form

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BodyWorks.com, Inc. Mail/Fax Order Form
Print out this page, fill in the details and fax to (775) 201-1257
or Mail to: Bodyworks, P O Box 782 Auburn GA 30011
To check the status of an order already placed, please call:
(877) 663-3438 Toll Free US / Canada or 678-377-6344 Intl

Credit Card Billing Address

NAME/TITLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

COMPANY NAME. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CITY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

STATE . . . . . . . . .. . . . . . . . . . . . ZIP. . . . . . . . . . . . . . . . . . . .

PHONE . . . . . . . . . . . . . . . . . . . . . . FAX. . . . . . . . . . . . . . . . .

E-MAIL ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ship To Address ( needed if different from billing )

COMPANY NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ATTN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

STATE . . . . . . . . . . . . . . . . . . . . . . . . . ZIP. . . . . . . . . . . . .

SPECIAL HANDLING INSTRUCTIONS . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Order Information - Item Name / Description	Quantity	x Unit Price	=Total Price





SIGNATURE X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DATE. . . . . . . . . . . . . . . . . . . . .

Shipping Options

Please see our page for pricing www.bodyworks.com/shipping.html

International / Wholesale orders please contact us for shipping fee quotes

www.bodyworks.com/contact.html

Method of Payment

To speed your order, please include check, account, or credit card information.

Check enclosed (U.S. ONLY)

Credit Card - Visa / MC ONLY

Account #

___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___

Exp. Date:______/______ 3 digit CVV2 Code ___|___|___ on back of card

FAX to (775) 201-1257

Sub Total	$______________
Shipping	$______________
TOTAL	$______________
Mailing Address: BodyWorks.com, Inc. P.O. Box 782 Auburn GA 30011
NOTE: Orders paid check will be held until funds have cleared, guaranteed funds will be processed and shipped the following business day.

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