If you would prefer to not pay by Paypal, please fill out the information below and send your cashier’s check, check, money order, or Visa, Mastercard, or American Express information to the address below. Your product will be emailed to you as soon as your payment clears.
Alternative Health Business
P.O. Box
San Francisco, CA 94123
Fax Number: xxx-xxx-xxxx
Fill in your contact information:
Full Name:
___________________________________
Email Address:
___________________________________
Phone Number:
___________________________________
Billing Address:
___________________________________
Check your profession or fill it in in the space marked other:
Profession
Personal Trainer
Massage Therapist
Chiropractor
Acupuncturist
Hypnotherapist
Yoga Instructor
Pilates Instructor
Other (fill in):
___________________________________
Select the Items You Would Like to Order:
Item:
X
Amount
Quantity
Marketing Secretes for Alternative Health Professionals Online Course
$67.00
Total Amount Enclosed: ___________________________________
Select Payment Type*:
Money Order
Cashier’s Check
Check
Credit Card No.
______________
Exp.
______
Signature
______________
Visa
Mastercard
American Express
*Cashier’s checks, money orders and personal checks should be sent to: Alternative Health Business, P. O. Box xx, San Francisco, CA xxxxx. Please be advised that if your product will not be emailed until the payment clears. If you pay by personal check, it may take up to ten days to clear.
Credit card payments can be mailed to the above address for faxed to: xxx-xxx-xxxx
