"Course" Order Form

Yes! I've enclosed a $100 postal money order made payable to the dealer listed below. I've also enclosed a$49 postal money order made payable to the publisher, U.E.I. (If you're late: $49 + $112 = $161) Your "course" will be shipped promptly from the fulfillment center! Also includes your Dealer's Lifetime Money Back Guarantee plus $50 just for trying! I've enclosed a total of only $149. (Total $261 - if late)

Please rush FREE Dealer Kit details, so I can start making money now! (D-MC-11/98)

You MUST complete, print out and return this form with your money orders. (U.S. funds only please.)

Name:
Date:
Adress:
City:
State:
Zip:
Phone:
Fax:

Hi! I'm an "authorized and registered" dealer for this course. Save money! Order your "course" within 10 days! I also highly recommend the dealer program! Rush your payment to the name and address below! Thanks in advance for your order! If you have a question and would like to speak with me directly, call (914) 783-9532 or e-mail me at [email protected].

Dealer:

Fred Jaffe
112 Cooper Street
Monroe, NY 10950
 Authorized Dealer code #: 5614ND


Copyright 1998 U.E.I., Dealer's Lifetime Money Back Guarantee plus $50 just for trying my techniques!