Name_____________________________________________________________________
Address___________________________________________________________________
_________________________________________________________________________
Phone (_______)__________________________
Products Order
Forearm Bar Pro Series Standard - 39.95 + (11.00 S/H per bar) Quantity______ Total____________
Forearm Bar Pro Series Olympic - 49.95 + (11.00 S/H per bar) Quantity______ Total____________
Forearm Bar E-Flex Standard - 59.95 + (11.00 S/H per bar) Quantity______ Total____________
Forearm Bar E-Flex Olympic - 69.95 + (12.00 S/H per bar) Quantity______ Total____________
AMP H-2 Olympic - 199.00 + (25.00 S/H per bar) Quantity________ Total____________
AMP H-1 Standard - 159.00+ (22.00 S/H per bar) Quantity________ Total____________
Discount________________ Total Amount $_________________
Payment Method (circle one) Check Money Order Visa Master Card Amx Discover
Credit Card Information
Account #____________________________________________ Card Code______________
Experation Date_____________
Name On Card_________________________________ Signature______________________________________
Monster Barbell Co. LLC
P O Box 76083
Highland Heights KY 41076
Fax 859-781-5234
Prices and shipping & handling (S&H) are effective for the continental United States.
Please write, fax or email for a shipping quote outside of the continental United States
Email
Please Note; Credit Card orders ship in 1-2 business days, all other payments ship in 2-4 business days after payment is received
3 or 4 numbers on back of card
Mail Order / Fax Order Form
Print page fill out and mail or Fax to;
Please Print
