|
KNEESAVERS PEDAL ADAPTORS PRINT OUT ORDER
FORM
Date: _____________________
| Quantity |
Item |
Price |
Total |
| __________ |
Kneesavers Pedal Adaptors ($45.00/pair plus $3
S&H) (Includes Right and Left spacers that
fit between pedal and crankarm) |
$45/Pair |
$__________ |
| __________ |
Right
Kneesaver Only |
$25/Each |
$__________ |
| __________ |
Left
Kneesaver Only |
$25/Each |
$__________ |
| __________ |
Kneesavers For Stationary Bikes |
$45/Pair |
$__________ |
| __________ |
Titanium
Kneesavers Pedal Adapters |
$100/Pair |
$__________ |
Thread Size:
____ 20 mm ____ 25
mm ____ 30 mm (9/16" thread)
____ 20 mm ____ 30 mm (1/2"
thread)
| __________ |
Pedal
Adapters (20 mm) - 1/2" male end and 9/16" female end to convert stationary or
spin trainer bikes to road pedal systems |
$45/Pair |
$__________ |
| |
|
Shipping
& Handling $3.00/Pair - $2.00/Single |
$__________ |
| |
|
TOTAL |
$__________ |
|
ORDERED BY: |
SHIP TO: |
|
Name
_________________________________________
Address
_______________________________________
City/State/Zip
___________________________________
Phone
(_____)___________________________________ |
Name
_________________________________________
Address
_______________________________________
City/State/Zip
___________________________________
Phone
(_____)___________________________________ |
|
PAYMENT
INFORMATION |
|
Credit Card_______ Check _______
Credit Card # __________
__________ __________ __________
Expiration Date: __________
Name as it appears on the card:
___________________________________ |
Kneesavers help eliminate
lower extremity pain for those cyclists with (1) toe-out condition, (2) large
feet, (3) wide pelvis, (4) bowlegged structure, or (5) biomechanical/anatomical
variation.
* Sorry, but there is a $30.00 fee for
all returned checks.
MAKE CHECKS PAYABLE TO "SCOR
PRODUCTIONS" Add $7.00 for C.O.D.s.
SCOR Productions P.O. Box
2466 Fallbrook, CA 92028 Phone # (800) 548-4447 Fax # (760)
728-0571
You may also
order
online.
(Credit Card charge or online ordering
will appear on your monthly statement under the name "Longevity
Plus". |