ORDER FORM

Home Order Form



MAILING IN YOUR PAYMENT 

AVIREX INTERMEDIA

17435 IMPERIAL VALLEY STE 1208

HOUSTON,TEXAS 77060

(   ) YES, I WOULD LIKE TO RECEIVE THE CRAIGSLIST BIBLE. I WILL BE GLAD TO LEARN HOW TO MAKE $10,000 A MONTH ON THE WORLD'S BIGGEST AND FREE WEBSITE. PLEASE RUSH ME MY BOOK FOR $8.99

(  ) CASH         (   )MONEY ORDER

PLEASE PRINT CLEARLY:

NAME:_______________________________________

ADDRESS:____________________________________

CITY,STATE,ZIP:_______________________________

U.S. FUNDS ONLY- OUTSIDE U.S. ORDERS +$10 ADDITIONAL FOR AIR MAIL.