_____ Yes! Please enroll me in Boot Camp and the CookieCutter system. I have enclosed a one time payment of $20.00 for the enrollment fee.

Enclosed: ( ) Cash ( ) Check ( ) Money Order

Please make checks payable To: Kao Saephan

NAME: _________________________________________________________

ADDRESS: ______________________________________________________

CITY, STATE, ZIP: _______________________________________________

EMAIL ADDRESS: ________________________________________________

TELEPHONE: ____________________________________________________

HOW DID YOU HEAR ABOUT US? __________________________________

________________________________________________________________

Send Completed Order Form with Payment To:

HMAssociates
Attn: CookieCutter
P.O. Box 364
Merced, CA 95341