The Personal Power II Program Investment Certificate!
YES! I'm very excited and eager to use the Personal Power II Program to achieve my goals and dreams!
YES! I am investing in the Personal Power II Program within 48 hours of reading your special offer. So please send me 5 (fake but fun) one-million-dollar bills.
YES! I understand my investment is protected by your 90-Day Better-Than-Risk-Free Guarantee if I order by August 31, 2003.
Item Description
 		QTY Price Amount
Personal Power II: The Driving Force - Audio Format   $179.85 $
Personal Power II: The Driving Force - CD Format   $209.85 $
Sub-Total $
Shipping and Handling - U.S.A. via Priority Mail - 3 to 5 business days   $10 $
Shipping and Handling - U.S.A. via Express (Overnight) Mail   $27 $
Shipping and Handling - Canadian Customers (8 to 12 business days)   $22 $
Shipping and Handling - International Customers - 3 to 6 business days)   $50 $
Total -- All prices are in U.S. Funds $

I'd like to pay by (please check one):   VISA   MasterCard   American Express   Discover
  Money Order   Check

Credit Card No.__________________________________ Expiration Date: __________________
Name on Card : __________________________________ Signature: _______________________


Please print clearly.

First Name:_________________________________ Last Name:_____________________________

Address:_________________________________________________________________________

City:________________________________________ State:_____________ Zip:_______________

Phone:__________________ Fax:__________________ E-mail:_____________________________

Please note: We'll process your order within 24 hours after receiving it. If today is Saturday, Sunday, or a holiday, then we'll process it on the next business day. And, if there are any delays, we'll let you know by e-mail or phone.

To order my mail, please send to:

Cyber Nation International, Inc. Dept. AIT1
1135 Terminal Way, Suite #209
Reno, NV
89502 U.S.A.
Phone: 1-866-597-8310
 To order by fax, please fax this form to:

1-775-201-0242

THANK YOU FOR YOUR ORDER!

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©1997-2003 Cyber Nation International, Inc. 1135 Terminal Way, Suite #209, Reno, NV, 89502, USA