Order Form




Three Easy Ways to Order

Option 1:  Click Here for OnLine Credit Card Ordering (continental United States only)!
(Secure Server)
Option 2: Click Here for Optional Installment Plan!

Option 3: Call Toll-Free (888) 330-7080 to ship ANYWHERE.

Option 4:  Fill out form below, print it, and fax to Back Builder Sales at:

(618) 628-0222

 
 

Ordering Information:

Product

Qty.

 Ea.

Total
Back Builder

$299.00

AbMat

$29.95
Shipping inside continental U.S.: AbMat = $9.95
Back Builder = $21.50
Shipping elsewhere = Call for shipping and handling
Illinois Residents add 7.6%:

TOTAL:
 

Please Enter Shipping Information Below:

Name:
Address:
City: State: Zip:
Country:
Phone Number:
Email Address:

Please Enter Billing Infomation:

Name:
Address:
City: State: Zip:
Country:
Phone Number:
Email Address:


Please Enter Payment Information:

Credit Card

Cardholder:
Card Number : Exp:
Card Type:    MasterCard          Visa             American Express       Discover

Check or Money Order

Make checks payable to:
BackBuilder Sales Dept 1M

Call for Shipping/Handling charges for orders shipped outside the continental U.S.
For COD orders, Please Add $9.50.
IL Residents Only: Add 7.25% to Order


THANK YOU FOR YOUR ORDER!
You will receive confirmation of your order from Back Builder Sales within 24 hours.

Your Back Builder is currently

OUT OF STOCK

 and will be processed for immediate shipment.

Your AbMat is currently

 IN STOCK

and will be processed for immediate shipment.

Please e-mail us with any further questions or comments!