If you prefer to send a check or money order, please fill out this order form. Then print out a copy of your completed order form and then send it along with a check or money order to address at bottom of screen. Wisconsin residents add 5% sales tax. If you are a merchandiser interested in reselling BACK MATE through your place of business, or if you just need more information, please fill out this form and then hit the send button at the bottom of the form.
If ordering state quantity of BACK MATES you would like:
Quantity multiplied times $11.95 per BACK MATE equals SUBTOTAL:
Wisconsin residents add 5% sales tax
Domestic Orders & International Orders: add $3.00 Shipping and Handling for single BACK MATE. If ordering more than one, add $1.00 shipping and handling for each additional BACK MATE ordered.
GRAND TOTAL: (U.S. Funds Only)
Send your completed Order Form along with Check or Money Order to:
Allow 2 weeks for delivery
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