Trowbridge & Associates
BMI Wheel® FAX ORDERING

Fax Order Form:
 
    Contact Information

    Name: ___________________________________________

    Organization: _____________________________________

    Telephone: _______________________________________

    Fax: _____________________________________________

    E-mail: ___________________________________________
 

STANDARD LOGO BMI CALCULATORS
"Take Charge of Your Health" logo displayed.
Weight in pounds. Height in inches.
Delivery in 1 - 2 weeks.
Please specify quantity: _______________

METRIC UNIT BMI CALCULATORS
"Metric BMI Wheel®" logo displayed.
Weight in kilograms. Height in centimeters.
Delivery in 1 - 2 weeks.
Please specify quantity: _______________

CUSTOM LOGO BMI CALCULATORS

Minimum order of 1000 for custom logo.
Custom logo BMI Calculators may be ordered
in metric or English units.
One-time logo setup fee applies.
Please contact us for details.
Delivery in 6 - 8 weeks.
Please specify quantity: _______________


    Billing Address

    Name: ___________________________________________

    Organization: ______________________________________

    Address1: _________________________________________

    Address2: __________________________________________

    City/State/Zip:  _____________________________________

    Shipping Address (if different)

    Name: ___________________________________________

    Organization: ______________________________________

    Address1: _________________________________________

    Address2: _________________________________________

    City/State/Zip:  _____________________________________
 
 
 
Please complete the form and fax to 866-536-9370.

Thank you for your interest in
Trowbridge & Associates' BMI Calculators.