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Date:
__________________
Title:
___ Mr. ___ Mrs. ___
Ms. ___ Miss
First
Name: _________________ Last Name: ____________________
Street
Address: ___________________________________________________________
City:
_______________________ State:_________________________
Zip Code:
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No shipping for U.S. orders ( Canadian orders enclose additional $7 in U.S.
funds-Orders for Europe, Asia, Africa,
Australia, add $19 for shipping).
Phone:
_____________________ Email: _________________________
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Yes!
I want to take care of health problems with home remedies that
have no side effects and will save me a lot of money. Please ship me the professionally printed
Every Man's Guidebook To Prostate Problems. I
understand I risk nothing with your 90-day Money Back
Guarantee. If I am not I am not happy with this
guidebook, for any
reason, I will return the printed guide to you within 90 days and get a no-hassle,
no-questions-asked refund.
On $29.95 (Free Shipping) by [
] Check [ ] Money Order. [ ] Credit
Card
Visa/MasterCard Number_________________________________
Expires On__________________ Signature___________________
Please ship the guide to me at the above address.
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Send your check
or money order along with this form to:
Every Man's Guidebook To Prostate Problems.
PO Box 747, Walnut, CA 91789.
Phone: (909) 464-0500
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