Credit Repair Biz Kit Fax / Mail Order Form

"Fax-Mail Order Form"

Print this page, fill it out and:

FAX to: eBusiness Power, Inc at 253 498 7382

MAIL to:
eBusiness Power, Inc
ATTN: Jim Eastman
81 Lumley Avenue
Ft. Thomas, KY 41075

NOTE: When sending check or money order by mail we strongly recommend you take all necessary precautions including sending by certified mail. We are not responsible for lost or stolen mail.

Yes Ben! I want to create my own LUCRATIVE and rewarding home-based business, helping people while making GREAT MONEY! I understand that Credit Repair Biz Kit comes with a 100% money back guarantee.

On that basis, here's my order:

Choose Package:

First Name:
(as it appears on Credit Card or check)

Last Name:
(as it appears on Credit Card or check)

E-Mail:

Type of payment:

Credit Card Type:
(if paying by credit card)

Credit Card #:

Validation Code:
(3 or 4 digit # on back or front of card)

Credit Card Expiration: Month: Year:

Street Address:
(as it appears on Credit Card)

Street Address (line 2):

City:

State:

Country:

Zip Code:

Telephone (w/area code):

*** Note: Be assured that faxes come directly to my computer and would not be viewed by anyone else.

- I hereby authorize eBusiness Power, Inc to charge my credit card as indicated above. In return I will receive my Credit Repair Biz Kit and bonuses by proirity mail.

- The merchant name on your credit card statement will be Authorize.Net

- Checks will take an additional 10 days from receipt to clear.

- Once you print this form, please sign your name below

Signature: ________________________________________

© 2002 - 2008
Comtrex, LLC
DBA Dynamite Info Products
1522 Dixie Hwy Suite 115
Park Hills, KY 41011
Email: support@creditrepairbiz.com
Office: 859-240-4987
(9:30 AM - 3:30 PM EST/EDT)
Fax: 253 498-7382