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Print this page and fill out the Agreement Below. After you have filled
it out and mailed it to Debt Busters, let me know that you signed up so I
can help everyone get 3 as soon as possible! LET'S MAKE THIS HAPPEN!  FOR ONCE, DO IT!(and do it FAST!) Email me at R1osie@aol.com
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Independent Agent's Agreement:
YES! I wish to have my bills paid. I have enclosed a $12.50
money order. I understand that I am responsible for the payment of any
applicable federal, state and local taxes.  I certify that I am of legal age.

How many downlines you want?____($12.50 per downline - minimum is one)
Signature_______________________________Date___________
Name___________________________________________________
Soc.Sec.____________________________________
Address________________________________________________
City __________________, State __________Zip________
Phone#_____________________
Fax#_____________________

Your Sponsor (ID#):   915-821-0580
Before you fill out this form make a Copy.
On the copy Place YOUR ID# . Your ID# is your telephone number!
Then send your money order and THIS completed form to:

DEBT BUSTERS
9903 Santa Monica Blvd., Suite 702
Beverly Hills, CA 90212