To order by mail, please <>and mail to:
POSTURE CONFIDENCE
1707 Post Oak Blvd
Suite 167
Houston, TX 77056
Name: _______________________________________________________________________
Ship To:
Street Address: ________________________________________________________________
City: _______________________________________ State:_______ Zip: _________________
Phone Number (in case there is a problem with the order): _________________________________
Method of Payment:
___ Check enclosed for $27 + $3.95 shipping and handling ($30.95 TOTAL)
Please send download instructions to the following e-mail address: _______________________
_________________________________________________________________________
___ Please bill my credit card.
Name on card: ____________________________________________________________
Credit card number: _________________________________________________________
Security Code: _____________
Expiration Date: _____________
Signature of Cardholder: ______________________________________________________
Billing Address:
___ Same as Shipping Address
Street Address: _____________________________________________________________
City: _______________________________________ State:_______ Zip: ______________
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