CANADIAN ORDER FORM

Last Name .................................... First Name...................................

E-mail ......................................................

Address...............................................................................

City .......................Province.....................Postal.................

Country ....................................Phone ................................

Who introduced you to Mastermoves?......................................................

Core Muscle Power® Training Kit.

BASIC SET (CDN$ 69.95) ........QUANTITY:______ TOTAL: _____________

COMPLETE SET (CDN$ 99.95) ..QUANTITY:______ TOTAL: _____________

The 100-Day Challenge (CDN$ 50 ) ......:______ TOTAL: _____________

GST(7%):_____________

PST(7%):_____________

SHIPPING: ( 10% of TOTAL if mailing is required ) TOTAL: _____________

GRAND TOTAL: ____________

Please print this form and mail it with your personal cheque to:

OK Initiatives, Inc.
1315 Broughton St., Suite 205
Vancouver, B.C., V6G 2B6
Canada
________________________________________________________

Visa/MasterCard Transaction in CDN$.

Card Number: _______________________ Expiration Date: ________

Fax this form to OK Initiatives, Inc. at (604) 642-6231

THANK YOU!