ORDER FORM Please print this form out, fill in, and send to us with at least 100 business cards, the completed Client Information forms (or your computer-generated list with complete information) with a minimum of 10 names enrolled, and payment. Send to Success Concepts Online /1585 Kearney St./Denver, CO 80220. Phone : 1-877-425-0100. Fax : (720) 945-0423. E-Mail : sales@successconceptsonline.com .

Todays Date:  Your Birthday:  Your Name:  Sign name as:  Office:  Phone #:  Address:  E-mail:    Fax #: CHECK ONE ____10 card program (Realtor) $36.50 ____10 card program (Mortgage) $36.50 ____10 card program (Business Professional) $39.50 ____Custom program $ _______ #cards____ #years____   Do you require your local postmark? Yes ___No___(If yes, for an additional $2 per client enrolled we will ship the finished cards to you, for you to put in the mail locally) What month would you like us to begin contacting you for your previous month's transaction information?__________ How did you find out about our Website?______________________ Preferred method of payment:Check (attached)___ Amex___Visa___M/C___Discover___ Credit Card #:_________________________________ Exp. Date:___________ Credit Card Billing Address:__________________________________________ One-time sign-up fee $25 Number of enrollments submitted_______ @$__________each =____________ Sales Tax - required in CO, SD, TX, GA and IL. Only add sales tax on the price of the cards._______ Total Amount Due $_______________   Home | Order | Contact | About Us | Customers Rate Us | Business Opportunities | Current Free Newsletter Greeting Card Follow Up | Thanksgiving | Holiday Cards | Real Estate Pro Greeting Cards | Business Pro Greeting Cards Recipe Postcards | Scenic Postcards | Special Needs Postcards | Loyalty Enhancers Call Toll-Free 1-877-425-0100 for a free personal consultation! Copyright © 2000-2001 Success Concepts Online. All rights reserved.