Healthy Kids Network Special Promotions

Healthy Kids Network Pedometer Order Form

Your American Cancer Society thanks you for ordering your pedometer online. Please allow 4-6 weeks for delivery.

In order to receive our bonuses in the form of medical papers or the ability to order papers online from professionals, you should contact our managers via the link and they will tell you about all the conditions of the promotion.

Someone will be contacting you in 24-48 hours for your payment information.

First Name: Last Name:

Street Address:

City: State: Zipcode:

Phone Number: Email Address:

We will call you to verify your payment information and your shipping options.

Which of the following items would you like to order?

Qty. Item Price

Pedometer $10.00

Bungee Cord $1.00

After we contact you with your total; please send your check or money order to:

American Cancer Society - Healthy Kids Network
attn: Dora Fowler
2433 Ridgepoint Dr - A
Austin, TX 78754

What made you decide to purchase our pedemoters?

Additional Comments?:

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