Power of Positive Workouts Order Form

Today's Date:

How to Order
Complete the information online and then use your browser's print feature. If you don't have a printer, please write this information on a piece of paper and then follow the mailing instructions below. * asterisked fields are required.

Ordered By:   Shipped To: Complete only if different than Ordered By
*Name     *Name
*Street Address     *Street Address
*City     *City
*State     *State
*Zip Code     *Zip Code
*Country     *Country
Phone Number     Phone Number
*Email Address


Products Ordered
Item # Description      Unit Cost Quantity Amount
Shipping & Handling - See Chart Below  
MN 6.875% Tax  *Enter only if you are shipping to MN
TOTAL

Price Shipping
& Handling
< $20
$2.00
> $20 - $40
$3.00
> $40
$4.00


Mailing Directions

DO NOT SEND CASH. Send printed order form plus check/money order to:

Ellie's Meditative Movements
P.O. Box 580561
Minneapolis, MN 55458-0561

Thanks for your order. Your order will be processed within 5 business days. If you have any questions, send an email to orders@powerpositiveworkouts.com

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