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_____________________The Lope Rope™ Program
The Lazy Way to Great Shape!
M.S. Exercise Physiology and Biomechanics
Author, Instructor, College Coach(Please print this form and then fill it out.)
_____________________Coach, please send me "The Lope Rope Program." I expect your program to be easy to use and to get me into the best shape of my life!.
Please find enclosed, my personal check, certified check or money order made out to Everroad Publishing Company, for The Lope Rope™ Program . (If you are from outside of the USA and sending a money order, please specify as International postal money order ).
(Our price of only $19.95 [plus $5.00 shipping and handling] is in the U.S. dollar. If you are located outside of the USA, please click on the currency converter to know your rate.)
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Mail Order Form
First Name _______________________________________
Last Name _______________________________________
Address _______________________________________
City _______________________________________
State/Province _______________________________________
Indicate state or province only if you live in the U.S. or Canada.
Country _______________________________________
Zip/Postal Code______________________________
Phone Number______________________________
Please include the area code of your telephone number.
Email Address ______________________________
Please double-check that your e-mail address is correct. We will confirm your order by email within 24 hours. Don’t worry-- your email address it totally secure. I promise not to sell, rent, or give it away to anyone. Privacy StatementMail this form (along with your check or money order) to:
Coach Jim Everroad
2211 Franklin Street
Columbus, IN 47201 USA
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Sorry no C.O.D.s
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This Web site and The Lope Rope Program are Copyright (C) 1999-2012 by Everroad Publishing. All rights reserved. 2211 Franklin Street, Columbus, Indiana, USA
Phone: 1-812-371-0077 9am-5pm EST M-FRevised: May 25, 2009