Fitness Magazine Order Form

Name

Street Address

City

State
AK AL AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC >option value="ND">ND OH OK OR PA RI SC SD TN TN UT VT VA WA WV WI WY

Zip Code

Item#	Quantity	Titile	Cost
	0 1 2 3 4 5

Item#	Quantity	Title	Cost
	0 1 2 3 4 5

Item#	Quantity	Title	Cost
	0 1 2 3 4 5

How would you prefer to pay for your selection?

Check
American Express
Visa Card
MasterCard
Discover Card

What is your shippiong preference?

UPS
USPS
Federal Express
Will Pick Up

Contact us for customer service
Contact us by E-Mail for more information.