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"Easy Does It" Video - Order Form
Please print this page and complete by hand. Make Check or Money Order payable to Senior Fitness and mail to:

Senior Fitness LLC
9323 Berry Avenue
St. Louis MO 63144

Name:_________________________________________________________

Address:______________________________________________________

City:____________________ State:____ Zip Code:________________

Telephone:_______________ Email:______________________________

Select Video (circle one):

"Easy Does It!
Staying Active, Staying Fit"

Price $23.99
FREE Shipping (Total $23.99)


"Easy Does It!
Getting Started"

Price $19.99
FREE Shipping (Total $19.99)


Select Video Format (Circle One):

Sex: Male / Female        Age:____

Is this purchase for your own use, or a gift?________________

How did you find us? ________________________________________