Check-By-Fax
Order Form
STEP # 1 :
Use Your Browser's [ PRINT ] Button To Print This Page Now
Check-By-Fax
Order Form
STEP # 1 :
Use Your Browser's [ PRINT ] Button To Print This Page Now
STEP # 2 :
Complete The Following Information
| Name : __________________________________
Address : ________________________________ City : ___________________________________ State : _______ Zip : ________________ |
Enter Your Area Code + Phone Number :
( _____ ) _____________________ Select One :
|
STEP # 3:
The Name Of Distributor Website
From Which You Are Placing
This Order is : SellSell [email protected]
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STEP # 4:
Fill out your check and attach here before faxing. Make sure account and
routing
numbers (at the bottom portion
of your check) are clearly visible. Make check payable to
Brandel Communications.
IMPORTANT: (1) Make
sure you SIGN your check, and (2) Make sure you write the
name of your Distributor's
Website on the Memo portion of your check.
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STEP # 5: Fax this Form to (954) 462-6633
Regular Mail May be sent to: Witt Reports 419 E. Lamar Blvd.
#111 Arlington,Tx. 76011 USA
Attention : IPRO Distributor
Website. Thank you for your order.