Susan Millers 's
Lose Weight FAST With Smoothies
 
Order Form
Use this form to send your payment with a U.S. check, U.S. Money Order,
or International Money Order.

Unfortunately, except for International Money Orders, our bank will not accept any non-U.S. forms of payment (including non-U.S. Postal Money Orders).

If your payment is a non-U.S. check or non-U.S. Money Order, it will be returned immediately.

Please make your U.S. Check, U.S. Money Order, or International Money Order in the amount of $27.77 to "Mixed Company" and send it with a copy of this form to:

Mixed Company
P.O. Box 921
El Toro, CA 92609

To pay by U.S. check, U.S. Money Order, or International Money Order, simply fill out this form and then print it out. If you don't have a printer, you can write one up (please print legibly). Keep a copy of this form for your records and send a copy with your payment to the address above.

Make sure that you enter your e-mail address below CLEARLY.
(This is where we will send your download information.)

E-mail Address (required):

Name:

Street Address:

City: State:

Zip Code: Phone:
I am submitting the following form of payment (please check/circle one):
U.S. Check U.S. Money Order International Money Order
  • Lose Weight FAST With Smoothies is an e-book (electronic book). When your order has been received and your payment clears, we will e-mail a link to a page to download your copy of the book and bonuses.
  • If you pay via U.S. or International Money Order, we will e-mail the download information to you within 3 business days of receiving it (usually the same or next day). If you pay by U.S. check, we will e-mail the download information to you after your check clears the bank (usually 2 to 3 days after we receive your order, although sometimes it can take longer). For the fastest processing of your order please send a U.S. Money Order.
  • You are eligible for the special price as long as you send your order within 3 days from today, .

Thank You!

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