Order by Fax:

Please fill the following Order & Shipping information form.

Calculate total amount  (product + freight) add sales taxes only if in Colorado

Fax the completed  Order & Shipping information form to:



Juniper Enterprises                              Fax :  1 970 923 6885
 1711 Juniper Hill Road
 Aspen, CO. 81611 USA

Order & Shipping information form : Intimate Gym      

 * Are required fields

Ship to:

* Name
___________________________________________________________________

* Shipping Address 
___________________________________________________________________

* City
___________________________________________________________________
 
* Zip code                   * State                       *  Country
___________________I__________________I_____________________________

Phone                            Fax                           Email
_____________________I__________________I___________________________

Bill to: (If different)

Name or Company
___________________________________________________________________

Address 
___________________________________________________________________

* City
___________________________________________________________________

Zip code                      State                         Country
___________________I________________I________________________________

Product :

* Product name                                                            * Product Price
_______________________________________________I____________________
* Shipment option please add 
  US Ground $ 7
US 2nd day or Canada standard $ 12
Europe standard $ 25 
All other countries       $ 29 		 ______________
Tax 
(Colorado resident please add 6.4 % of the price)                   

______________
* Total __________

                                         

Credit Card: Visa  -  MasterCard  -   American Express

                                   Diners Club      Discover


* Credit Card Number                                             * Expiration date
___________________________________________I___________________________

Comment :
______________________________________________________________________

 

Please fax the completed form to   1 970 923 6885

Thanks for your order!

 

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