Eric's Gym Fax & Mail Order Form
To order: Print out this form, complete all blanks, and fax or mail it to us. We accept credit cards, money orders, or checks. Sorry, but because of shipping costs, we cannot ship exercise equipment outside of the 48 Continental United States

Product Selections: Please print as clearly as possible. If more space is needed, attach additional pages.
Quantity
Item Number
Description
Price
Total
         
         
         
         
         
         
Please Note: If you pay by credit card, your order will be processed the same day we receive it. If you pay by money order, it usually clears within 4 business days or less. For personal check, please allow 1 to 2 weeks to clear. If you send an order by registered or certified mail, we are sometimes unavailable to sign for these envelopes during business hours and doing so could delay your order by a couple of days.

TOTAL PRICE
of items
:

Shipping Information:
Ship to name:
Street:
City: State: Zip:
Email: Phone:
Payment Information: For credit card order, please complete the information below
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:
By signing above you authorize Eric's Gym to charge your credit card for the amounted listed on the "Total Price" line.
Make Check or Money Order payable to: Eric's Gym
Mail Check or Money Order to:
Eric's Gym
1513 E. Tripp Ave.
Peoria, IL  61603-1622
Or Fax your order to:
1-501--694-2275 - anytime day or night
Phone in order toll free:
1-866-253-5826 - 10 AM to 10 PM - CST - USA only