PRINTABLE ORDER FORM FOR
FAX OR MAIL
Credit Card
Orders
For faster service on credit card orders, PRINT AND FAX THIS FORM with your credit card order to (312) 922-1714.
Mail Orders/Fax Orders
Please fill out
the order form completely and mail to the address below or PRINT AND FAX THIS
FORM with your credit card order to (312) 922-1714.
All mail orders will be shipped on the following business day after receipt. If you choose to FAX your order, please tell us how you want your FAX order confirmed by checking ONE of the options below:
Confirm by
Email to (Email address):
Confirm by FAX
to (FAX #):
Confirm
by Phone to (Phone number)_______________________________________________
If you have questions, or need to contact us, PHONE (312) 922-1695
| Product Description | Price | Quantity | Total |
|||
| Profits in Discounted Notes | $315.00 | |||||
|
Priority Mail shipping |
9.80 | |||||
| TOTAL $ |
I would like to
pay by (check one)
AMEX
VISA
MASTERCARD
CHECK
MONEY
ORDER
(IF
PAYING BY PERSONAL CHECK, please allow 5-7 business days for personal checks to clear our
bank)
Card Number
Exp. date ______________
Name
Date __________________
Address
_______________________________________________________________
City
State
Zip ___________
Signature
______________________________________________________________
Phone
( )
_____________________________ (
) _________________________
HOME
WORK
WE EXTEND TO
YOU OUR UNCONDITIONAL GUARANTEE! IF FOR ANY REASON YOU ARE NOT POSITIVELY 100%
SATISFIED, SIMPLY RETURN YOUR MATERIAL WITHIN 30 DAYS OF PURCHASE FOR A FULL
REFUND.