| Bill To: |
This
is the mailing address your credit card statement gets sent to |
| Name: |
|
| Mailing Address: |
|
City, State, Zip or Postal Code:
Country:
|
* International orders will be contacted by e-mail with shipping and
insurance rates. |
| Phone: |
We
need this if there is a problem |
| Dedicated Fax Number: |
|
| Email: |
|
| Ship To: |
Check
here if Same
As Billing |
| Name: |
|
| Mailing Address: |
|
City, State, Zip or Postal Code:
Country:
|
|
| Phone: |
|
| Dedicated Fax Number: |
|
| Payment Information: |
Please
check your entries for accuracy to avoid any delay. |
| Payment Type: |
[card type] |
| Card Number:
|
3 or 4 Digit Security Code
is required
AMERICAN EXPRESS uses 4 digits found
on the front of your card
Your 3 digit security code - the last 3 digits on the back
of your card in your signature section. |
| Expiration Date: |
|
MAIL WITH
CREDIT CARD INFORMATION OR CHECK OR MONEY ORDER
To:
RUSS
TRADING, INC.,
PO Box 17510,
Fountain
Hills,
AZ
85269-7510
Phone: 480.816.1619
FAX ORDER FORM To:
480.816.1623
|
Please send me CD sets
at $189 each plus $5.75 Shipping and Handling per shipment
Please send me a
one year mailed subscription at $249
Please send me
a
one year Faxed the day of
creation at $349
Please send me
a
3 month trial mailed subscription at $59
Please send me
a
3 month trial mailed Faxed
the day of creation at $84
Please send me
your 39 page business plan at $149 plus
$5.75 Shipping and Handling
Please send me
your Quantum Trading Course at $169 plus
$5.75 Shipping and Handling
Signature:
____________________________________________________________________ |