Synergy Movement Workshops

The Creative Dance Keys Order Form You are now on our Secure Server for completion and processing of your order. On Line Orders - Complete the following order form. Phone Orders - Call 1-780-437-1156 Fax Orders - Print the Order Form and fax to 1-780-430-8993 Mail Orders - Print the Order Form and mail to: Synergy Movement Workshops Inc. 13903 48 Avenue, Edmonton, Alberta, Canada T6H 0G1 dancekeys@synergymovement.com


1.	Select the items that you wish to purchase.
	Check the boxes next to the items you wish to purchase. You will have a chance to preview your order summary before it is finally processed. You are now on our Secure Server for completion and processing of your order. Note: 1/ All prices in CANADIAN Funds - Click Here to covert today's exchange rate. 2/ Canadian Residents 5% GST applies and will be added to your order 3/ Shipping charges - $25.00 for the whole kit / $15.00 for parts 4/ All Items shipped Ground rates. 5/ Restocking charge 10%

Item	Description		Price
Complete English Kit-007	The Creative Dance Keys DVD Edition - Bilingual - English & French	$	299.99
Complete French Kit-008	The Creative Dance Keys DVD Edition - Bilingual - English & French	$	299.99
Partial Kit-019	DVD Bilingual - English & French	$	69.99
Partial Kit-002	Keys English	$	49.99
Partial Kit-012	Keys French	$	49.99
Partial Kit-003	Word Rings English	$	49.99
Partial Kit-013	Word Rings French	$	49.99
Partial Kit-016	Plastic Case For Kit	$	24.99
Partial Kit-018	Music CD'S [2] Bilingual - English & French	$	29.99

Shipping and Billing Information

2.	Bill my credit card for these purchases. Shipping costs will be an additional charge.
	If you do not wish to make payment by credit card, then leave the card information blank and advance to #3 to be billed.

		Expiration Date
Card Number		/
Card Holder


3.	Please Bill me for payment.
	If you wish to be billed, check the box above. Once we receive your order we will advise you of the total costs, including shipping charges.


4.	Customer information.
	Please enter your customer information, including phone number and email address in case we need to clarify your order information. Shipping Method is by UPS Ground.


Name
Address
City		State/Province
Country		Postal Code
Phone		Fax
Email


5.	Shipping destination. [Must Be Completed]
	Your *The Creative Dance Keys* purchases will be sent to the following person and location.


Name
Address
City		State/Province
Country		Postal Code


6.	Purchase Order Numbers.
	Please enter any special instructions or additional information about your order. For Purchase Orders - Type in: Purchase Order # xxxxxx.

7. Proceed to the next screen to Select Quantities.

When you click the "Select Quantities" button your chosen items will be listed and you can select quantities of each item. Nothing is processed or billed until you preview your invoice. The buttons on this page do not process any billing.
NOTE To Credit Card Customers: Once you submit your invoice for processing, you hereby authorize Synergy Movement Workshops Inc. to charge the total amount of this purchase [including shipping charges] to your Credit Card.
The Creative Dance Keys, Synergy Movement Workshops Inc. .


7.	Proceed to the next screen to Select Quantities.
	When you click the "Select Quantities" button your chosen items will be listed and you can select quantities of each item. Nothing is processed or billed until you preview your invoice. The buttons on this page do not process any billing. NOTE To Credit Card Customers: Once you submit your invoice for processing, you hereby authorize *Synergy Movement Workshops Inc.* to charge the total amount of this purchase [including shipping charges] to your Credit Card. *The Creative Dance Keys, Synergy Movement Workshops Inc.* .