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 Myopracticâ 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