Priority Order Form

For Fastest Service (1) Use Your Credit Card & Fax This Form To: 702-993-8899 

Or (2) Print & Mail With Payment To: Beth Erickson, Filbert Publishing, 140 3^rd Street, Box 326, Kandiyohi, MN 56251

[]YES!  I’m hot to get in this mentoring group... and I know there’s no time to lose.  Thanks for the awesome guarantee allowing me to quit at any time. That takes the pressure off my decision.  Here is what I want, and where to ship it to:

[] "High Profit Writer Club", where I get the personal mentoring... plus a teleconference each month... plus flash-fire phone calls and critiques... plus a free six-month subscription to High Profit Writer Newsletter/CD package mailed to me... plus personal e-mail access for critiques and questions... all for just $500 a month or $2500.00 total if I choose to prepay for the entire six months. (That's a savings of $500.)

[] I want you to charge my credit card $500 each month.

[] I want one free month so charge my card this one-time charge of $2500 for the six month program. 

Please Print Clearly!

[]Payment Option 1: I’m paying by credit card:  [] VISA []MasterCard

Card Number:_____________________________­­­­­­­­­­­­­­_________­­­­­­­­______ Expires:_________­­

Billing address (if different than shipping address):_______________________________

________________________________________________________________________

Signature:__________________________________Phone:________________________

                                                                                                     (Phone needed ONLY to process credit card.)ard.)ard.)

[]Payment Option 2:  I’m paying by check (payable to Filbert Publishing).

[]Rush-ship everything to:                                                                                                 key03

Name__________________________________________________________________

Address________________________________________________________________

City_____________________________State___Zip___________Country___________

E-mail_________________________________________________________________

[] You (and no one else) have permission to e-mail me: _________________________

(Please fill this in so I can contact you with any quick instructions for the program you're enrolled in.)

   Sign here only for e-mail okay

NOTE:  I will never, ever, ever give your e-mail address to anyone else.  Why would I? That only generates bad feelings.  You can have your name removed from my e-mail list at any time, for any reason, immediately and without hassle. 

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