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Certified Instructor Equipment Order Form Note: To receive these wholesale prices, your first order must include a minimum of 10 pairs of poles. All future orders may be for any number of poles and/or accessories (at wholesale prices). Quantity Description Price 20 pairs of poles or more (any combination) Series 300 Fitness Edition, no DVD (sugg. retail $99.99) Series 700 Hiking Edition, no DVD (sugg. retail $99.99) 4LIFE poles (5% to breast cancer), no DVD (sugg. retail $99.99) Activator - pamphlet only (sugg. retail $99.99) instructional DVD $58.99 $63.99 $58.99 $58.99 $1.00 10 pairs of poles or fewer (any combination) Series 300 (Fitness Edition) - no DVD (sugg. retail $99.99) Series 700 (Hiking Edition) - no DVD (sugg. retail $99.99) 4LIFE poles - no DVD (sugg. retail $99.99) (pink poles, 5% to breast cancer) Activator - pamphlet only (sugg. retail $99.99) instructional DVDs $63.99 $68.99 $63.99 $63.99 $1.00 Accessories replacement cushiongrip tips (sugg. retail $14.99) replacement bell-shaped tips (sugg. retail $14.99) urban poling carrying bag (sugg. retail $14.99) snow basket attachment (sugg. retail $7.99) instructor shirt (hot pink, long sleeve, v-neck) Notes: shipping & taxes Please call or fax (604) 980-1085 us with your credit card information if you are not already on file with us. For security reasons, do not include credit card information on this form if emailing. Comments: $7.99 $7.99 $7.99 $4.99 $28.99