Response FORM Or ___ Enclosed is my check, money order or credit card order for $________ plus $ ________ S&H Charge my (Note: You can use more than one card to complete this order): Visa Mastercard American Express Discover Card Number:____________________________________ Exp. Date:______________ Signature: __________________________________________ Print Name: __________________________________________ Address: __________________________________________ City: _____________________________ State: ___________________________ Zip Code: _______________________ Country: __________________________________ Date of Birth: _____________________________________ Telephone: __________________________________________ Fax Number: __________________________________________ E-Mail: __________________________________________ Matt Furey Enterprises, Inc 10339 Birdwatch Drive Tampa, Florida 33647 For any option, you may also call our 24-Hour Order Line at: 1-813-994-8267 to place your order. Home | Order | About Matt Furey Matt Furey Enterprises, Inc. Copyright © 1997-2004 Matt Furey Enterprises, Inc. Matt Furey, Combat Conditioning, and Gama Fitness are registered trademarks of Matt Furey Enterprises, Inc. All rights reserved. | |||