Hip Helpers Standard Order Form to print and send

Hip Helpers, Inc.
1332 Holly Point Rd.
Virginia Beach, VA 23454 USA
(757) 481-2407 (9 am to 5 pm ET M-F)
info@hiphelpers.com

Order Form For Standard Sizes

Please fill out, print, and mail to the address above. For international orders, see the shipping/handling charges below, and contact us before ordering if you have any questions.

Order Only Standard Sizes Here: Refer to Sizing Chart and Measuring Guide for help, and use Custom Order Form if you need custom sizes.

Please note: as of January 23, 2012, the USPS has significantly raised rates for international shipping, and we've had no alternative but to raise our rates to cover the increase.

This form is for payments by check/money order.
For credit card/electronic payment use Online Order Form.

Your Name
Address
City
State		Zip
Phone (include area code)		Email

Size	Color	Quantity	Total (Quantity x $15.00)




Please specify alternate color choice(s)
Sizing Kit(s) @ $65.00 each
DVD videos @ $6.00 each
US Shipping/handling: Add $3 first pair, $1 each addl. pair, $5 per Sizing Kit, $3.50 per DVD. Global shipping/handing: Add $30 for 1-6 pairs to Canada, $40 for 1-6 pairs anywhere else.
Virginia Residents add 5% sales tax:
TOTAL:

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