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)

 

TO ORDER SECURELY ONLINE USING A CREDIT CARD CLICK HERE

Name:

Address:

City:

State:

ZIP:

Phone:

E-Mail:

   

PACKAGE

PRICE

QUANTITY

TOTAL

Level 1: The Coastal Vacation Package

$1,295 x

 

Level 2:  Three Day Seminar on Finance, Motivation, Travel, Level II package etc.

$3,500 x

Premier Package: Combination of L-1 and L- 2 together.  (Save $800!)

$3,995 x

Platinum Package: Combination of L-1, L-2 and L-3 together.  (Save $1,545!)

$11,000 X

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:
(UPS $10
FED EX 2nd day air $25)

BALANCE DUE:

DIRECTORS RELEASE: As per our agreement with the independent business people of COASTAL VACATIONS, you must be a certified director to purchase products directly from us. Credit card orders will be phone verified before processing. There is a 10 day money back guarantee on the level 1 package (minus costs incurred). There is no return policy on the level 2 and 3 packages as they as personalized and can not be resold. Level 1 Package and all materials must be returned in clean, unused re-sellable condition. No exceptions. If joining via the call center, please note that their sign up fees are non refundable.