Credit Repair Kit, International, All 50 States, Do it Yourself, Most Effective, Learn to repair your credit reports with ease

To order online please fill in the following form OR Click Here if you wish to order by fax/mail.
If you are attaching this form to E-mail, this form MUST be COMPLETED & SAVED to your DESKTOP before doing so!!
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1. Please select the items you wish to purchase.
Check the boxes next to the items you wish to purchase.

Description	Price
C102 Golden Credit Dispute Disc “Credit Repair” CD-ROM	$139.95
C103 Golden Credit Dispute Disc “Credit Repair” CD-ROM with Golden Credit Repair “E-Book” (new!)	$159.95

2. Please select the appropriate shipping and handling amount according to the table below.

Shipping/Handling Method	Price
3-7 Day Shipping & also (U.S. Only)	$5.00
Next Day Shipping & Handling (U.S. Only)	$20.00

3. If you qualify, please select your FREE GIFT(S) now.
You might qualify for one or more FREE GIFT! If you qualify for any of the free gifts,
please put a checkmark in the appropriate box.

FREE GIFTS	Price
I ordered the “Golden Credit Dispute Disc” Only, Send me ALL 5 free gifts (Valued at 100.00 – FREE!!)	FREE
I ordered the “Golden Credit Dispute Disc” & “E-Book” Send me ALL 5 free gifts plus an additional surprise gift now!!	FREE

4. Please provide your contact and shipping information.
Please enter your contact information, phone number (include area code),
and email address in case we need to clarify your order information.
IMPORTANT NOTE: This is the person and location that this order will be shipped to.

ReferralID#
Customer Name:
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5. Bill my credit card for these purchases.
If you do not wish to make payments by credit card, leave the card information blank
and check the box to pay by check or money order. Otherwise, please complete
the credit card information section now.

Name on Card
Credit Card Number	- - -
Expiration Date (mm/yy)	/

Billing Address:	Same as Contact Address
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Address:
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Zip Code:

6. I'll send a check or money order for payment.
If paying by check or money order, please check the box above.
Click here to print this page for mailing:

By submitting this form, I understand & agree to the offer & Billing details & authorize the secure
transfer of my name, address & credit or debit card information used to purchase this product.
For more information about this product please call:
1 (866) 736-5363 - Fax: 661-215-5147 Monday - Friday, 9:00 AM - 7:00 PM PST

For more information about this product please call: 1 (866) 736-5363 - Fax: 661-215-5147 Monday - Friday, 9:00 AM - 7:00 PM PST