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Name
Street Address
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SSN / SIN#
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Fax Number:
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Sponsor's Name
Sponsor's ID#

Please enter "Fred Lee" ID# 569099 as sponsor

A simple $40.00 monthly purchase is the only minimum qualifier to secure and maintain a position in the matrix's geneology system. Please place your first order now.. This 'Qualifier ensures you are eligible to receive override income, and Upline placements into your donwline from spillovers. At your earliest convenience please send in the "AMO" (Automatic Monthly Order) form in the next page, thanks..

For your convenience, pick a pak below

Product Pak A (Weight Mgmt)
  • Fat Busters (Product #25801-4)
  • ThermoCharge (Product# 29163-2)
  • Diet Drops (Product # 20230-7)
  • Total: $40.50
  • Product Pak B (Health Supplement)
  • Miracle Melatonin (Product #20227-3)
  • OPC Max (Product # 20353-7)
  • Total: $43.00

  • Fast Start Pak $200.00
  • Instant Qualification for all bonuses
  • 1/2 day Rotational System
  • 3 Miracle Melatonin
  • 6 ThermoCharge
  • Diet Drops
  • Product Redemption Certificate
  • Quick Purchase Certificate, can be redempted
    for products at a later date.
  • $40.00

  • Pick One
    Product Pak "A" $40.50 . Product Pak "B" $43.00
    Fast-Track $200.00 . Product Redempton Certificate $40.00

    VISA MASTER CARD AM / EX DISCOVERY

    Credit Card Number Expiry Date


    Note: Electronic Checking Withdrawal is available if you prefer sending your "Product Ordering" with the snail mail system, An Order form with your signature and a "Voided Check" must be attached with it.


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