Full Name:_________________________________________________ Street Address:_____________________________________________ City:________________ State:___________ Zip:_____________ Phone:________________________ Email:_________________________ Where did you hear of our company?:___________________________ __________________________________________________________
To get your Fast Action Kit and start making money now, enclose $25 with the above information. This money is to pay for your entire kit.
Send to: Brandon Daugherty 7272 N. Meridian Rd. Uniondale, IN 46791
