Please fill out this form and then print it out and send with your payment to:

COACH MIKE SAYLOR
481 East Curry Drive
Terre Haute, IN 47802
Attention: Order Processing

Personal Information
Name:

Street Address:
City:
State:
Zip Code:
Email Address:
 

School Information
Name of School:
Do you: Play?       Coach?       Other?
School Street Address:
City:
State:
Zip Code:
 


Other Information

Where did you hear about the Mike Saylor Basketball Workout?


Any other information, comments or suggestions?


 


Order the Mike Saylor Basketball Workout
Select the workouts you would like to purchase and write out the quantity on the line to the right of the workout

_____ Original "Advanced Workout" CD

_____ "Middle School Level" Workout CD

_____ "Post Drills" Workout CD

_____ "Before School 1-Person" Workout CD (Shooting)

_____ "Before School 2-Person" Workout CD (Shooting)

_____ "Before School 3-Person" Workout CD (Shooting)

_____ "Elementary Level" Workout CD

_____ The Famous "Five-Star" Jumping Program
 
Figuring Your Total

Each workout CD package is $19.95. Be sure to add $4.00 shipping & handling ($7.00 on international orders).

If you order the Original "Advanced Workout" CD ($19.95), every other workout that is ordered is discounted to $10.00.

Ex. If you order the Original "Advanced Workout" CD, the "Post Drills" Workout CD, and the Famous "Five-Star" Jumping Program, you would calculate your total as follows:

Original "Advanced Workout" CD $19.95
"Post Drills" Workout CD $10.00
"Five-Star" Jumping Program $10.00
Shipping & Handling $4.00
Total $43.95

If you order all 8 workouts, you are capable of paying a discounted price. Your total will be $55.00 + $4.00 shipping & handling.
 

 
Completing Your Order

Print out this completed order form, and send it with your payment to the address at the top of the form.

* NEVER SEND CASH IN THE MAIL

* PLEASE ONLY SEND CHECK OR MONEY ORDER