STEP   Fill out the Form below

STEP   Print the form (Print from the File-->Print option of your Internet browser.)

STEP   Mail or Fax this application along with your payment to Walking The World.

APPLY

Name:

Address:

City/State/Zip:

Telephone:

Fax:

Email Address:

Package Total $

 (includes $3.95 shipping and handling)

Walk 500 Take the Challenge Book @ $15.00 U.S.

 Book Quantity

Book Total $

100% Cotton Tee Shirt with logo @ $17.95 U.S.-indicate how many of each size you would like to order.

Tee Shirt in size

 Small

(based on men?s sizes):

 Medium

 Large

 Extra-Large

Tee Shirt Total $

Order the starter package and save! (1 book + 1 shirt) @ $29.95 U.S.

 Package Quantity

Package Total $

Sub Total $

Colorado Sales Tax $

 (Colorado Residents Add 3.7%)

(Shipping cost:$3.95 for the first item and $2.00 for each additional item.)

Shipping $

Total $

METHOD OF PAYMENT

Check/money order (payable in U.S. funds) for total $ amount or enter your credit card information below.

 Visa         Mastercard         Discover

Account #

Expiration Date:

Signature _______________________________________
 

Reminder: Please print and mail or fax this application along with your payment to Walking The World.

 

Walking The World
P.O. Box 1186
Fort Collins, CO 80522-1186    

or

 Fax:  970-498-9100

 Phone: 1-800-340-9255