Back
APPLICATION
FORM
(Please
print)
Free gifts will be included with parts 3, 5, 7, &11 of “The Key to Success & Wealth”
For your first part of “The Key to Success
& Wealth” please enclose your payment of £50 (No cash please)
made payable to: Michael Smith and send
with your details on the slip below to: 145 Goldthorn
Hill, Wolverhampton, WV2 4ps.
Or
if you have any further queries TEL:0
1902 569372 email ms004a3963@cableinet.co.uk
--------------------------------------------------------------------------------------------------------------------
YES! PLEASE SEND ME MY FIRST PART OF “THE KEY
TO SUCCESS & WEALTH” I ENCLOSE A £50 CHEQUE / POSTAL ORDER.
NAME: _______________________________________________________________________________________
ADDRESS: ____________________________________________________________________________________
_____________________________________________________________________________________________
POSTCODE: _______________________________ TEL: _______________________________________________
EMAIL:
____________________________________