Sierra Exercise Equipment Order Form

Please print and complete this order form (or write down the information) and enclose check or money order, made payable to Bruce Tackett, and mail to:

Bruce Tackett
P.O. Box 20
Pratt, Kansas 67124
USA


Ship to:

    
    
    
    
    
    
Email:

ItemCostQuantity Amount
One Pair of Hook Handles$32.95 ________ ________
15 lb. Resistance Band$6.00 each________________
5 lb. Resistance Band$5.00 each________________
Anchor$19.95________________
Anchor Strap$5.95________________
Isometrics/Suspension Trainer$49.95________ ________
Subtotal:________
USA Shipping$10 ________
International Shipping$25________
Overseas US MilitaryFREE________
Total________

Notes: