|
Date:
__________________
Title:
___ Mr. ___ Mrs. ___
Ms. ___ Miss
First
Name: _________________ Last Name: ____________________
Street
Address: ___________________________________________________________
City:
_______________________ State:_________________________
Zip Code:
_________________
Country: _________________________
No shipping for U.S. orders (Canadian orders enclose additional $7 in US. funds-Orders for Europe, Asia, Africa,
Australia, add $16 for shipping).
Phone:
_____________________ Email: _________________________
 |
Yes!
I want to make changes to my life with "Mind Dynamics." Please
ship me CD-ROM version, How To Change Your Life In 20 Minutes With Mind Dynamics
along with the tape immediately. I
understand I risk nothing with your 90-day Money Back
Guarantee. If I am not successful in making
changes to my life or if I am not happy with this program, for any
reason, I will only return the tape within 90 days and get a no-hassle,
no-questions-asked refund.
Please ship me the CD-ROM And Audio Tape: $49.95 (Free Shipping) by
[
] Check [ ] Money Order. [ ] Credit
Card
Visa/MasterCard Number_________________________________
Expires On__________________ Signature___________________
Please ship the guide to me at the above address.
|
Send your check
or money order along with this form to:
Change Your Life In 20 Minutes, Dept. SH-114
PO Box 747, Walnut, CA 91789.
Phone: (909) 464-0500
|
