Mail Order Form

Please fill out the following form, then print 2 copies (1 to mail in with payment and 1 for your records).
( ** - Required)

Type of Injury Package**

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E-mail Address**

(Please re-check your E-mail address)

First & Last Name

Please make your check or money order payable to:
The Body Fix, L.L.C.

Please mail this form to:
The Body Fix, L.L.C.
Attn: Fixyourbody.com Product Support
7400 SW Barnes Road
Suite 551
Portland, Oregon
97225

You should expect your package to arrive via E-mail in 7-10 days after mailing this form. If you have any questions please contact Fixyourbody.com via the contact form on our site.
By mailing this form to the above said address you agree to the terms and conditions stated in the license agreement and liability disclaimer.

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