Eric's Gym Fax & Mail Order Form
It's much faster to order online but you can
still order by mail if you prefer - print out this form, complete all
blanks, & mail
to us.
You can also use this same form to send us a fax order. We accept credit cards, money orders, or checks.
We don't ship outside of the 48
Contiguous United States
Product Selections:
Please print as clearly as
possible. If more space is needed continue on back. |
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Quantity |
Item Number |
Description |
Price |
Total |
|
Please Note:
If you pay by credit card, order will be
processed the same day we receive it. If you pay by money order, it
usually clears within 4 business days. For personal check, please
allow 1-2 weeks to clear. PLEASE DO NOT SEND ORDERS BY REGISTERED OR
CERTIFIED MAIL as we are often not available to sign for such items
& your order may get returned to you. |
TOTAL PRICE |
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Shipping Information: |
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| Ship to name: | ||
| Street: | ||
| City: | State: | Zip: |
| Email: | Phone: | |
Payment Information: For
credit card payment, please complete the information below |
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| Name on Credit Card: | ||
| Billing Address (if different): | ||
| City: | State: | Zip: |
| Credit Card Type (circle one): /// Visa /// Master Card /// American Express /// Discover /// | ||
| Card Number: | ||
| Expiration Date (use 4 digits: mm/yy): | CVN (what's this?): | |
| Cardholder Signature: | Date: | |
Your signature authorizes
Eric's Gym to charge your credit card for the amounted listed in "Total
Price" |
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Make Check or Money Order payable
to: Eric's Gym |
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Mail Check or Money Order to: |
Eric's Gym 1513 E. Tripp Ave. Peoria, IL 61603-1622 |
|
Fax Orders: |
1-309-682-2275 - (must include credit card info) | |
Phone Orders: |
1-309-682-2275 - 10 AM to 10 PM - CST - USA only | |