|
Power Pointers Page Order Information
|
| Instructions: Print this form and
fill in the Customer Contact Information section, then place it and a
check or money order for the amount of $295.00 (USD) in a
self-addressed, stamped envelope and mail to: |
| |
|
|
|
|
|
|
Terra Huzinec
21031 Florette Lane
Spring, TX 77388
United States
|
|
Phone: 281.350.4862
E-mail: thuzinec@hotmail.com
|
| Please allow up to two full weeks for your
Power Pointers Page order to be processed and your Website posted. As
soon as your Power Pointers Page has been posted promoting the Website
you have indicated on your form you will be sent an "Online
notification" E-mail. This E-mail will inform you that your Power
Pointers Page has been posted. If you have any questions about your
order, please contact your Power Pointers representative listed above.
Thank you for your order! |
| |
|
|
|
|
|
|
| Customer Contact
Information |
Order Date:
|
6/3/2004 |
|
Name
|
__________________________________________________ |
|
Company
|
__________________________________________________ |
|
Address
|
__________________________________________________ |
|
City, State Zip
|
__________________________________________________ |
|
Country
|
__________________________________________________ |
|
|
|
|
Phone
|
__________________________________________________ |
|
Other Phone
|
__________________________________________________ |
|
FAX
|
__________________________________________________ |
|
E-mail
|
__________________________________________________ |
| |
|
|
The Web Address
of the site you
wish your
PowerPointers
Page to promote:
|
__________________________________________________ |
|
| |
|
|
|
|
|
|
| Payment Method (Check
One) |
| |
|
|
|
|
|
|
|
Check
|
 |
|
|
Money Order
|
|
