Dream BT Order form

Free Prosperity CD Order Form

*Name*
*Address*
*Address*
*City*
*State/Province*
*Zip/Postal Code*
*Country*
*Day Phone*
*Evening Phone*
*Email*
*Letter of Items Ordering*

A. FREE Prosperity CD	FREE
*B. FREE Prosperity Ezine monthly e-newsletter*	FREE

*Shipping & Handling:*

Please allow 2-4 weeks for delivery

*The FREE CD is our gift to you.*

*We would appreciate help with shipping:*

$3 US & Canada

$5 elsewhere

*BILLING*
*Credit card*
*Cardholder name*
*Card number*
*Expiration date*

*Phone Order:*	*1-800*-736-7367
*Mail Order:*	*The Dream, 11248 N. 11th Street, Phoenix AZ 85020*

	SHIPPING ADDRESS IF DIFFERENT
*Street address*
*Address*
*City*
*State/Province*
*Zip/Postal code*
*Country*