Please
print this page and fill in all required information
so that we may process your order.
Phone Orders Call Toll Free: 1-800-283-4230
Direct Dial 1-631-874-7255
Fax Orders
To:
1-631-874-0736 - 24 Hours A Day
Mail Check Or Money
Order To:
Manta Communications
457 Main Street - Suite 365
Farmingdale, NY 11735
Name
Address
City
State
Zip
Country
Phone
Fax
E-mail
Have you previously ordered the FMS video?
YES NO
On which TV network or magazine did you see the product mentioned?
For survey purposes, what is the name of your local cable company?
What are the last 4 digits of the phone number you saw on TV?
Have you seen the commercial(s) more than once?
Workout & Nutrition Programs
QTY
DESCRIPTION OF PRODUCT
PRICE
FMS PRICE
FITNESS MADE SIMPLE - THE POWER TO CHANGE YOUR BODY THE POWER TO CHANGE YOUR LIFE BOOK
$24.95
N/A
FITNESS MADE SIMPLE - VHS
$29.95
N/A
FITNESS MADE SIMPLE - DVD
$31.95
N/A
Fitness Made Simple BASICS - VHS
$29.95
N/A
Fitness Made Simple BASICS - DVD
$31.95
N/A
AWESOME HOUR UPPER BODY HOME WORKOUT - VHS
$29.95
N/A
AWESOME HOUR UPPER BODY HOME WORKOUT - DVD
$31.95
N/A
SIX PACK ABS - VHS
$29.95
N/A
SIX PACK ABS - DVD
$31.95
N/A
AM/PM WORKOUT - VHS
$29.95
N/A
AM/PM WORKOUT - DVD
$31.95
N/A
45Min FAT BURNING WORKOUT - VHS
$29.95
N/A
45Min FAT BURNING WORKOUT - DVD
$31.95
N/A
NEW YOU SPECIAL
$29.95
N/A
FAT FIGHTING SPECIAL - DVD
$39.95
N/A
FAT FIGHTING SPECIAL - VHS
$39.95
N/A
BABY STEPS PACKAGE SPECIAL - DVD
$31.95
N/A
BABY STEPS PACKAGE SPECIAL - VHS
$29.95
N/A
FMS MOTIVATIONAL MUSIC CD
N/A
$15.95
NUTRITIONAL KEYS TO LOSING FAT & BUILDING MUSCLE PKG
$31.95
$26.95
FMS "POWER TO BE BETTER" SEMINAR HIGHLIGHTS DVD
$25.95
$19.95
BREAKING BARRIERS: PERSONALIZED WORKOUT AND NUTRITION PLAN
N/A
$99.95
FMS T-SHIRT - M
$24.95
-
FMS T-SHIRT - L
$24.95
-
FMS T-SHIRT - XL
$24.95
-
Fitness, Fat Loss, & Bodybuilding Supplements
QTY
DESCRIPTION OF PRODUCT
PRICE
FMS PRICE
FMS PAC (POWER AB CHISLER) ATTACK
$59.99
$34.99
FMS PAC (POWER AB CHISLER) ATTACK CONTINUITY PROGRAM
$34.99
N/A
FMS POWER MULTIVITAMIN (PMV)
$59.99
$39.99
FMS POWER MULTIVITAMIN (PMV) CONTINUITY PROGRAM
$34.99
N/A
FMS ANTI-AGING SERUM
$69.99
$49.99
FMS ANTI-AGING SERUM CONTINUITY PROGRAM
$69.99
N/A
CARBRITE DIET BARS - BLUEBERRY CHEESECAKE
$49.99
$44.99
CARBRITE DIET BARS - CHOCOLATE BROWNIE
$49.99
$44.99
CARBRITE DIET BARS - FROSTED CINNAMON BUN
$49.99
$44.99
CARBRITE DIET BARS - S'MORES
$49.99
$44.99
PYRUVATE 60 Capsules / 1000mg
N/A
$45.99
SUBDUE 90 Capsules
N/A
$59.99
NECTAR "Fruitilicious" Whey Protein Isolate - Fuzzy Navel
$59.99
$49.99
NECTAR "Fruitilicious" Whey Protein Isolate - Lemonade
$59.99
$49.99
Essence Isolated Protein Blend 2lb - Vanilla
$65.99
$55.99
Essence Isolated Protein Blend 2lb - Vanilla - Continuity
N/A
$50.99
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Shipping Address If Different From Above:
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Shipping and Handling Information
The order total represents only your item costs. Shipping & Handling charges are additional and they're based on the following breakdown:
U.S. (Including Military Bases - APO & AE)
1-2 videos (VHS or DVD) 9.95 S/H
3-4 videos (VHS or DVD) 12.95 S/H
5 or more videos (VHS or DVD) 14.95 S/H
$11.95 S/H for supplement orders up to 2 pounds
Call Customer Service (718-224-9758) for the S/H charge on supplement orders over 2 pounds.
All Other Countries
1-2 videos (VHS or DVD) 17.95 S/H
3-4 videos (VHS or DVD) 20.95 S/H
5 or more videos (VHS or DVD) 24.95 S/H
Call Customer Service (718-224-9758) for the S/H charge on supplement orders.
Your order charge will be billed as Manta Communications on your credit card statement.
All orders within the United States are sent via US Mail and standard processing/delivery time is generally 15-17 business days from the date of order placement. If you are paying by check please be advised that checks can take 10-14 or more business days to clear so check orders aren't shipped for up to 2-3 weeks from the date we receive the check. You can eliminate the additional clearing time by sending a money order instead of a check.
RUSH SHIPPING ($7.00 Extra) This charge is in addition to the regular S&H fee. It guarantees your package will be shipped via Priority Mail within 24-48 hours (1-2 business days) of order placement. IT DOES NOT GUARANTEE ANY RECEIPT DATE, which is dependent on the time it takes the US Postal Service to deliver Priority Mail to your area. Choosing this option gives your order priority status and avoids the standard processing time that occurs prior to shipment. If you are paying by check please be advised that the RUSH fee policy doesn't take effect until after the check clears. Checks can take 10-14 or more business days to clear so even RUSH orders paying by check aren't shipped for up to 2-3 weeks from the date we receive the check. Only RUSH orders paying by credit card or money order are shipped within 1-2 business days of order placement.
Please circle either "Yes" or "No" below.
YES NO
NOTE: Since they are reproducible in
nature all video products (VHS & DVD) are Final
Sale items and thus non-returnable. Videos with technical problems
(picture/sound trouble) and those damaged in shipment can be replaced by
calling Customer Service at 718-224-9758.
It is always recommended to consult your physician before beginning this or any other exercise and nutrition program.
