Coastal Vacations Mentoring Program | Maria Porter Mentor

Coastal Vacations Purchase Order Form

Please make certified check or money order out and send to:
Maria Porter, 304 Raintree Drive, Murphy, TX 75094 Date

Ship to:

If you wish to pay with MoneyGram or Western Union please contact me for instructions. For personal checks, please see below. Credit card orders can be taken via phone and processed on a secure server or you may complete the form below and fax your signed order to 866-629-3806.

Thank you.

Maria Porter 972-881-4694 (home office)

Name:
Address:
City:
State:
ZIP:
Phone: E-Mail:

*PACKAGE*	*PRICE*		*TOTAL*
MENTORING BY MARIA PORTER LEVEL 3 DIRECTOR PLUS BONUS TOOLS, LEADS, WEBSITES, ON-GOING TRAINING AND SUPPORT.	$1,000
TERMS and INSTRUCTIONS: Fill out this form online and print two copies. Keep one for your records, then FEDEX one application form with a certified check or money order only to the address above. You will be contacted immediately when payment is received. Please allow 8 to 10 working days to receive your Coastal vacations Package. Please circle: Name on card______________________________________________________ Address of Card Holder:____________________________________________________________ Credit Card #_____________________________________Exp: ______________ Card Code (on back of card): ______Signature:___________________________		SUB-TOTAL:
		FREIGHT: FREE
BALANCE DUE:

Proof of purchase from previous director must accompany this order.

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