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Purchasing Information Domestic customers may purchase products from this website via credit cards or PayPal online, or by printing out this form and mailing it along with a check or Money Order (US Funds) to the address below. International customers may purchase products from this website via PayPal online or by printing out this form and mailing it along with a Money Order (US Funds) to the following address: Essert Associates 3635 Irby Drive Conway, AR 72032 USA Qty _____Fibromyalgia Water Workout Book on CD $25.00 _____Breast Cancer Recovery: On Land & In Water CD-ROM $47.95**CEC _____Breast Cancer Recovery Exercise ancillary product (non-CEC) $25.00 (for multiple orders and/or instructor price, contact FLS www.FitnessLearningSystems.com or (888)-221-1612 _____Post Polio WaterWork DVD $27.95 (soon to be CEC) _____Fibromyalgia WaterWork Video $27.95 CEC* Version non-CEC based $27.95 earn CEC credits $47.95 _____Move It or Lose It Water Fitness for Seniors Video $ 27.95 CEC* Version non-CEC based $27.95 earn CEC credits $47.95 _____Move It or Lose It Arthritis CD $27.95 CEC* Version non-CEC based $27.95 earn CEC credits $47.95 Subtotal _______ CEC Exam subtotal _______ (*add $20 per CEC exam except for Breast Cancer Recovery CD) Discount Coupon _______ Shipping (USA) - $5.00 ________ OR $7.00 ea. outside USA _______ Total: ________________ Copyright © 2000 - 2010 Essert Associates, All Rights Reserved phone: (501) 505-8601 , email: messert@mindspring.com