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ORDER FORM

 

NAME__________________________________________________________________

 

STREET__________________________________  CITY OR TOWN__________________________

 

STATE______________________________________       ZIP CODE_________________________

 

E-MAIL ADDRESS_________________________________________________________________

 

PHONE NUMBER   (            )   -   ________   -   ____________

 

Please check all that apply below

 

_____    Enclosed is my $10.00 for the Home Employment Information and Software Package.  I am also

              enclosing $1.50 for shipping and handling bringing the total to $11.50.  I also understand that this

              program is based on motivation and that individual results will vary and success is in no way, shape,

              or form guaranteed.   I also understand that if this program is not successful for any reason I am not

              entitled to a refund due to the high number of "tire kickers"!  I understand that if I am not motivated

             to make money by working for it, I should not be ordering this program.

 

 

_____   Check here if you want to receive special offers and promotions from our affiliates.

 

_____   I have read and agree with all of the terms and conditions of this program.

             signature___________________________________                   date_____________

 

Please send completed order form along with check or money order to:

A. Bourget

14 Greenwood Street

North Smithfield, RI 02896

 

e-mail us at

workwhereyouwant@yahoo.com

 

 

All orders will be held until checks

clear.