Please print out the following order form and either:
1. Fax it to (434) 978-0118
2. Mail it to:
Ultimate Lifestyle Academy
690 Berkmar Circle
Charlottesville, VA 22901
Please fill in the checkbox at the left and quantity box at the right for the Edition you prefer:
*
Edition Description
Quantity
Busting Loose From The Money Game -- Emerald Edition -- Full Expression: $1500 (plus shipping and handling)
Busting Loose From The Money Game -- Ruby Edition -- Full Expression: $1000 (plus shipping and handling)
I prefer to enroll by check: For U.S. Delivery, I'm enclosing a check or money order, made out to "Ultimate Lifestyle Academy," for the total expressions of Appreciation shown below (including shipping and handling):
U.S. Delivery Emerald: Full Expression of $1515 ($1500 + $15 shipping and handling)
Ruby: Full Expression of $1011 ($1000 + $11 shipping and handling)
Canadian Delivery
Emerald: Full Expression of $1525 ($1500 + $25 shipping and handling)
Ruby: Full Expression of $1018 ($1000 + $18 shipping and handling)
Other International Orders
Emerald: Full Expression of $1565 ($1500 + $65 shipping and handling)
Ruby: Full Expression of $1043 ($1000 + $43 shipping and handling)
I prefer to enroll using my credit card (please check one):
Security Code (3-4 digit on ront or back of card) _____________________
Authorization:
I authorize Ultimate Lifestyle Academy to charge my credit card as specified above for the purchase and shipment of my "Busting Loose From The Money Game Home Transformational System" as specified above.
_________________________________________________
(please sign your name above)
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