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Mail or Fax in your order Note: SubliminalEzy is a division of AffirmWare Pty Ltd
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(click here to return)
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Print the following order form and either:
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- Fax it to:
Local: 02-9460-8098 International: 61-2-9460-8098
- Send via snail mail it to:
AffirmWare Pty Ltd 30/116 Shirley Road Wollstonecraft NSW 2065 Sydney, Australia
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Yes, please rush me the SubliminalEzy software.
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Contact Details:
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First Name:
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_________________________.
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Last Name:
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_________________________.
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E-mail Address:
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_________________________.
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(double check spelling as this is where your download instructions for the "SubliminalEzy Software" will be sent)
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Address Details:
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Address:
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_________________________
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City:
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_________________________
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State:
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_________________________
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Zip:
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_________________________
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Country:
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_________________________
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Phone:
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(___) ____ - ______
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Check or Money Order Details:
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I am enclosing a check or money order for SubliminalEzy REGULAR $37.00 (USD) I am enclosing a check or money order for SubliminalEzy GOLD $47.00 (USD) (SubliminalEzy GOLD include 7 metaphysical eBooks)
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Credit Card Details:
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VISA Bank Card Master Card
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Credit Card #:
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_________________________.
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Expiry Date:
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_________________________
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Name on card:
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_________________________.
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Your credit card will be billed for a total of:
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Charge this purchase to my Credit Card for SubliminalEzy REGULAR $37.00 (USD) Charge this purchase to my Credit Card for SubliminalEzy GOLD $47.00 (USD) (SubliminalEzy GOLD include 7 metaphysical eBooks)
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I authorize AffirmWare Pty Ltd to charge my credit card for the purchase of SubliminalEzy Software.
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Signature:
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_________________________.
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Installation instructions will be emailed to you once your payment is processed, usually within 24 hours after receiving you order.
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Other:
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Where did you hear about SubliminalEzy?
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What was the main reason(s) for you investing in SubliminalEzy?
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Thank you for your business
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Mailing Address: AffirmWare Pty Ltd 30/116 Shirley Road Wollstonecraft NSW 2065, Sydney, Australia T: 61-2-9460 8098
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