Burn Machine, LLC
26305 GlendaleRedford, MI 48239
Phone: (313)794-2876 | Fax: (313)794-4355
E-Mail: info@theburnmachine.com | Web: theburnmachine.com
ORDER FORM
Date: _____________________
Bill To:
Ship To:
Name
Name
Company Name
Company Name
Street 5ddress
Street Address
City, State, Zip
City, State, Zip
Phone
Phone
Email
Email
Qty
Item #
Description
Unit Price
Total
TBM-018
Novice Speed Bag (4 lbs.)
$129.00
TBM-006
Intermediate Speed Bag (8 lbs.)
$139.00
TBM-005
Professional Speed Bag (12 lbs.)
$149.00
TBM-004
Intermediate Cross Trainer (12 lbs.)
$159.00
TBM-003
Professional Cross Trainer (20 lbs.)
$169.00
TBM-009
Universal Burn Machine
$199.00
TBM-008
Ultimate Burn Machine
$299.00
TBM-010
Display Stand
$19.00
TBM-021
Chrome Olympic Adapters (set of 2 adapters w/clips)
$79.00
TBM-LUB
Silicone Lubricant Spray (Burn Machine approved)
$5.25
Subtotal
Please attach coupon, or enter discount code. (if applicable)
Discount
MI Residents ONLY, add 6% Sales Tax.
Tax
Please refer to our website to calculate correct shipping.
Shipping
TOTAL
Make all funds payable to: Burn Machine, LLC
Submit this order form along with your check, money order or certified check to:
The Burn Machine
26305 Glendale
Redford, MI 48239
1-800-380-6527 or (313)794-2876 | Email: info@theburnmachine.com
Please call should you have any questions regarding the shipping charges.
Your order will be processed upon notification that funds have cleared.
THANK YOU FOR YOUR BUSINESS