Registration & Ordering

The Myopractic  Institute 
3011
Highway 30 West, Ste 101-222 - Huntsville, TX  77340
 Office (936) 435-1329  
Email: myopractic123<at>gmail<dot>com

Product Order Form


Name __________________________________________________________Date _________________________

Mailing Address _____________________________________________________________________

Telephone ______________________________________   Email _______________________________________

 

Product

# of

Items

Retail

Cost

Student

Cost

Total

Cost

INSTRUCTIONAL TOOLS

 

 

 

 

      Videos � DVD format

 

 

 

 

      #1 Feet & Lower Legs

 

$35

$25

 

#2 Hip & Thigh

 

$35

$25

 

#3 Chest & Back

 

$35

$25

 

#4 Arms, Shoulder, Neck

 

$35

$25

 

#5 Intro to Posture Balancing

 

$35

$25

 

Set of Five DVD Videos

 

$150

$100

 

Postage & Handling per video:
$7 for first DVD; $2 for each additional DVD

 

 

 

 

 

 

 

 

 

       Illustrated Manual

 

 

 

 

      #1 Feet & Lower Legs

 

$20

free

 

#2 Hip & Thigh

 

$20

free

 

#3 Chest & Back

 

$20

free

 

#4 Arms, Shoulder, Neck

 

$20

free

 

#5 Intro to Posture Balancing

 

$20

free

 

Complete Manual

 

$100

free

 

Postage & Handling per section:
$7 for first section;
$2 for each additional section

 

 

 

 

 

 

 

 

 

Subtotal this page

 

 

 

 

<over>


Product

# of

Items

Retail

Cost

Student

Cost

Total
Cost

Subtotal from previous page

 

 

 

 

 

 

 

 

 

PERCUSSORS

 

 

 

 

 

 

 

 

 

For an old-style jigsaw*

 

 

 

 

Small, hard jigsaw adaptor (one firm rubber tip included)

 

$15

$15

 

Medium jigsaw adaptor (one medium-firm ball included)

 

$20

$20

 

Large jigsaw adaptor (one soft ball included)

 

$30

$30

 

     Postage & Handling:  $7 for first adaptor;
     $2 for each additional adaptor

 

 

 

 

 

 

 

 

 

*Note:  old-style jigsaws (with the screw collar for tightening the blade) are not readily available for purchase.  Sometimes they can be found, used, at pawn shops, online, or in someone�s garage. 

 

 

 

 

 

 

 

 

 

For a new jigsaw**

 

 

 

 

Small, hard jigsaw adaptor (one firm rubber tip included)

 

$30

$30

 

Medium jigsaw adaptor (one medium-firm ball included)

 

$40

$40

 

Large jigsaw adaptor (one soft ball included)

 

$55

$55

 

     Postage & Handling $7 for first adaptor;
     $2 for each additional adaptor

 

 

 

 

 

 

 

 

 

**Note:  new jigsaws are readily available for purchase in retail stores.  Our adaptors fit all saws that take a U-blade.  We recommend that you buy a jigsaw with a built-in speed control; otherwise you can buy a (lamp) dimmer switch to control the speed.

 

 

 

 

 

 

 

 

 

Other Products:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Cost of Products

 

 

 

 

Texas residents:  6.75% sales tax

 

 

 

 

Total Postage & Handling

 

 

 

 

 

 

 

 

 

Total Cost

 

 

 

 

Your Payment

 

 

 

 

Balance/ (Credit) Due

 

 

 

 

Thank you for your order!  You have several order options:  1)Mail this order form and the payment due to The Myopractic Institute address on the letterhead at the top of the page; 2) Scan and email the form; or 3) Call us directly at 936-435-1329 to order by phone.

Mastercard / Visa Number:   ____________________________________________________________

Signature  _______________________________________  Expiration Date __________ CVV# _______

Billing Address for Credit Card:   (street address, zip)_________________________________________

We value your satisfaction.  You can return any product within 30 days of purchase for a full refund. 

 

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For questions please call:   936-435-1329

Huntsville, TX USA

(a trick to help slow spam) email: myopractic123<at>gmail<dot>com