Retail Order Form
Wholesale Order Form is located here

Please print this page, fill in the details required, and mail it to:

The Stretching Institute
47-47 36th Street, Suite # 3208
Long Island City, NY 11101
UNITED STATES

Order Details

Please note: All prices are in US dollars. Shipping and handling is calculated separately.
You will be informed of the shipping charge before we process your order.

Qty	Individual Products	Options	Unit Price	Total Price
	InstantStretch Software (no P&H)	Win - Mac	$97.00	$
	Stretching Handbook		$26.47	$
	Stretching DVD		$26.47	$
	Stretching Poster		$16.97	$
	Anatomical Charts		$49.97	$
	StretchBand	SM - MD - LG	$29.97	$
	Bundled Products
	Handbook & DVD Pack		$49.97	$
	Handbook & Poster Pack		$39.97	$
	Handbook & StretchBand Pack	SM - MD - LG	$49.97	$
	Handbook, DVD & StretchBand Pack	SM - MD - LG	$74.97	$

Total

Delivery Details

Full Name: ________________________________________________________

E-Mail Address: ____________________________________________________

Delivery Address: __________________________________________________

City / Suburb: _____________________________________________________

State: ______________________________ Zip / Post Code: _______________

Country: __________________________________________________________

Phone: ___________________________________________________________

Payment Details

Charge this purchase to my credit card. Please note, we only accept Visa, MasterCard and American Express.

Card Number: _________________________________________________

Name on Card: ________________________________________________

Expiry Date: _________________________________________________

Card Type (please circle): ______ Visa ______ MasterCard ______ Amex

Signature: ___________________________________________________

Retail Order FormWholesale Order Form is located here

Order Details

Delivery Details

Payment Details

Retail Order Form
Wholesale Order Form is located here