Exercise Brochure Order Form

Exercise Brochure Order Form Please indicate quantity: ______ Balance Basics $8.00 each ______ Stretch & Flex $8.00 each ______ Strong & Stable $8.00 each ______ Set of 3 $20.00 per set The illustrated booklets each exhibit ten exercises, in large print, that demonstrate how individuals can remain balanced, flexible and able-bodied in order to prevent falls. For maximum usability, the guide is in a calendar format, which allows the user to attach it to any upright surface, so readers can follow along as they train. The three booklets feature simple exercises that older adults can carry out at home. Shipping & Handling (S&H) U.S. Rates: 1 – 3 = $6.00 total 4 – 8 = $10.00 total 9 – 12 = $12.00 total 13+ call or e-mail for rates E-mail for international rates $ __________ Sub-total $ __________ Shipping $ __________ Total Name Address City/State/Zip Phone______________________ E-Mail Developed by: Make Checks Payable To: CSUF Cashiers Mail to: California State University, Fullerton - Center for Successful Aging 800 N. State College Blvd., KHS-011C, Fullerton, CA 92831-3599 Phone: (657) 278-7994 Fax: (657) 278-5666; fallproof@fullerton.edu www.stopfalls.org (213) 740-1364

Exercise Brochure Order Form

Exercise Brochure Order Form

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