infoweb1
Fax or Mail-in Registration Form
for:
Successful
Strategies Co.
Print This Order Form and Fax
or Mail it to:
951-697-4792
Successful Strategies Co.
c/o Free Grant Broker
1040 S. Mt. Vernon Ave., Suite G-l42
Colton, CA 92324
Yes, I want to
be a participant in your Free Grant Broker program. Please send me my starter
kit to help me get started right away. I also understand that I have thirty days
to evaluate your program and that I can return it for a full refund within that
time if I'm not satisfied for any reason. On that bases.
Enclosed please find my
payment of $39.95
Total Enclosed $ ______
Payment Method:
____Check ____ Money Order ____ Visa
____ MasterCard ____ Discover ____ Am/Exp.
Name ____________________________________________________________
Address __________________________________________________________
City _______________________________ State ___________ Zip____________
Credit Card# _______________________________________ Exp./Date____/___
Signature__________________________________________________________
AGREEMENT:
I certify that I am an honest person 18 years or older,
who has handled other people's money and have not been convicted of theft, robbery,
embezzlement, fraud, larceny, conversion or misappropriation of funds.
Please
sign._________________________________________________________________
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