Training for the Ageless Order Form

(Please note: For mail-in orders, we only accept money orders at this time)

Buyer Information

Name: ________________________________________

E-Mail: _________________________________________

Daytime Phone: __________________________________

Shipping Address: ____________________________

____________________________

____________________________

Order Information

QTY TOTALS

DVD: (all three videos on 1 DVD) DVD  $26.95 x ____ = _____

Gallery Photo #1 8x10 $11.95 x ____ = _____

Gallery Photo #4  8x10 $11.95 x ____ = _____

Sub-Total = _____

                        USA Shipping & Handling  $6.95 per shipped package  =   _____

International (Outside USA & Canada) add $5.05 per shipped package = ______

Please make Money Order (payable to Kelly Nelson) for this amount    = _____

Mail Order Form and Money Order (payable to Kelly Nelson) to:

Kelly Nelson

801 North Ladd Avenue

East Wenatchee, WA 98802

Please allow 1-2 weeks for delivery.

All mailings shipped via USPS Priority Mail

If you have any comments or questions please send them to: kelly@agelesstraining.com