Perfect Grace Gymnastics Products Mail Order Form

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                 Return to PERFECT GRACE Home Page
        
 Mail To: Perfect Grace Gymnastics Products 
           2115 Warren Dr.
           Stillwater,Ok.74075
   
                    Shipping Information
    
 Ship To Name:_________________________________

 Street Address:_________________________________________________
 
 City: _____________________              State:_________________
 
 ZIP or Postal Code:_________________ Home Phone_________________
 
 Daytime Phone:_________________ E-Mail Address:_________________
 
                         Payment Method (circle one)
 VISA, MASTERCARD or AMERICAN EXPRESS
 Credit Card: Number:_________________________  Exp. Date:_____
 
 Name on Card:_______________________________
    
 Signature ______________________________  Today's Date:_________
    
 Money Order: (USA Postal or USA Bank):____
   
    Check: (USA Bank):____
 
                       Order Information
   _________________________________________________________________
 |        Item Description       | Item No.| Qty | Price |  Total  |
 |_______________________________|_________|_____|_______|_________|
 |_______________________________|_________|_____|_______|_________|
 |_______________________________|_________|_____|_______|_________|
 |_______________________________|_________|_____|_______|_________|
                                     Total for all items |_________|
              (Oklahoma Residents Only) Add 5% Sales Tax |_________|     
    		      shipping chg. (Beam Shipping call) |_________|
                                             Order Total |_________|

                            Special Instructions
      _________________________________________________________________
WARNING! PLEASE READ! Any Activity involving motion or height creates the possibility of
serious injury. Our equipment is intended for use by trained participants under
supervised conditions. Inspect equipment for damage or loose  fittings before each
use. PERFECT GRACE l.l.c. shall not be held responsible for personal injury incurred
through the use of products sold by PERFECT GRACE l.l.c. All of our products carry a
limited one year warranty on materials and workmanship.