Offline Order Form
"No one else in bodybuilding works so hard to become the very best competitor on stage and, at the same time, helps YOU reach your physique-enhancing goals. NO ONE!"
(Please print this screen for use with phone, fax and U.S. mail orders.)
Personal Information
This is the address to which your receipt will be sent, and also the address to which products will be shipped unless otherwise specified below.
Product(s) you are ordering (Please be specific):
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Name: _______________________________________________________
(please include your preferred nickname if applicable) Address _______________________________________________________ City _________________________ State __ Zip ________________ Phone _______________________________________________________ E-Mail Address _______________________________________________________
Shipping Information
Only complete this area if you would like the products to be shipped to an address other than the one listed above (i.e. a gift).
Name _______________________________________________________ Address _______________________________________________________ City _________________________ State __ Zip ________________
Credit Information
Select your credit card type:
Name as it appears on card _________________________________________________ Credit Card Number ____________________ Expiration Date (mm/yy) __________
Total $ Amount of Order __________
Phone Orders.........1(800)655-0986 or (415)358-4058 (VISA/MC/AMEX)
Fax Orders.........1(800)655-0986 or (925)296-9238 (VISA/MC/AMEX)
U.S. Mail: Skip La Cour
712 Bancroft Road #259
Walnut Creek, CA 94598
Make checks payable to: Skip La Cour
