Earthspirit Yoga Bags Order Form
Print and mail to: YogaMe.com, 160 Beacon Street, #4, Boston, MA 02116
| NAME: | ______________________________________________ | |
| ADDRESS: | ______________________________________________ | |
| CITY: | ______________________________________________ | |
| STATE: | ___________ | |
| ZIP CODE: | ___________ | |
| TELEPHONE: |
_______________________
|
COST: $45 per bag
SHIPPING: Shipping within the U.S. is $2.25 for one bag, and $1 for each additional bag.
PAYMENT: We accept payment by check or credit card.
_____ Enclosed is my check made payable to YogaMe.com
_____ I'm paying by credit card: (circle one) VISA MASTERCARD
Card Number: _________________________________ Expiration Date: _____________________
Name as it appears on card: ___________________________________
Signature: _____________________________________
| Item |
Quantity
|
Price
|
|
| 1 | ___________________________________________ | _______ | _______ |
| 2 | ___________________________________________ | _______ | _______ |
| 3 | ___________________________________________ | _______ | _______ |
| 4 | ___________________________________________ | _______ | _______ |
| 5 | ___________________________________________ | _______ | _______ |
| 6 | ___________________________________________ | _______ | _______ |
Subtotal |
_______ | ||
| Shipping | _______ | ||
| Total | _______ | ||