ORDER FORM
"Self-Hypnosis Weight Loss CD"
 YES! Ciaran. I want like to purchase this Self-Hypnosis Weight Loss CD Programme.
I understand that if I am not fully satisfied I can return the CD within 30 days for a full refund.
I also understand that even if I do decide to return the CD the extra bonuses are mine to keep.
Please print off this page, complete the form and post it back to me at my address (shown at the bottom)
Please Fill in your Information Below
Please find enclosed my cheque/postal orders for $23 made payable to Ciaran Brady.
Delivery Details
Date: ________________________
Mr/Ms/Mrs/Miss/Other:_______________________________
Name:_______________________________
Address:_______________________________
____________________________________
____________________________________
____________________________________
Postcode:___________________
Tel:________________________
Fax:________________________
E-mail:________________________________ |
Remember you MUST entre a valid email address to receive your bonuses.
Please send this form along with your cheque or postal order to the address below.
* NOTE: Don't worry that I have no postcode or house number... if you sent it to the EXACT address below it WILL get to me.
|
