ORDER FORM
Starting a Home Based Mail Order Business Software
Pay Only $39

TO ORDER
 1. Complete, print, and then fill in appropriate sections.
2. Credit Card orders accepted through PayPal only.

PURCHASER  INFORMATION
Name:
Company:
Email:
Phone:  Fax:
Address 1:
Address 2:
City:
State/Prov:
Zip/Postal:
Country:

PRODUCT PRICING
Item
Mail Order Software		 Qty
 $ ea.
 $ Total

Sub-Total:
Select Shipping & Handling:
$3 Standard $16 Next Day $24 Intl.

TOTAL ENCLOSED (including S&H) $

SEND YOUR ORDER TO:

Curtis Bradley
4377 Dale Blvd Ste 203
Woodbridge VA, 22193

Questions? E-mail us at mail@curtyb.com

PAYMENT OPTIONS

BY CREDIT CARD (PayPal only)