Lifestyle Systems Order Form
	Print this order form, fill in your ordering information, and Fax or mail to: Lifestyle Systems, P.O. Box 5031, Huntington Beach, CA, 92615 - Fax orders:714-964-0334 Phone orders: 800-955-3383
			I authorize you to debit my credit card for the total listed above. Signature:_________________________________________ Date:_________