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Please print out this form and mail it in with a check for $20 to this address: GET Power Club, 10861 Norcross Circle, Orlando, FL  32825

 

The GET Power Club

Application/Shipping & Info Form

Name  
Mailing Address  
City
State & zip code    
Home Phone
Fax
Primary Email Please one you check often
Secondary Email
Were you recruited to join the Club ? yesno

If yes, recruiter name

Questions, comments or Installation address if different than mailing

 

 Once I receive the form & payment, I will send you your DVDs, Welcome letter and FREE Electricity Certificate by mail.

OR

Sign-up on-line. Please note there are 2 steps.

1. Fill out the on-line form (above) for Club records, then hit "submit". (Please be sure to give a "good" email address so I can send you monthly updates on our progress.)

2. Then click the desired "Buy Now" button below the form. (The "Buy Now" button takes you to a secure PayPal site to handle the payment)   

Secure Web Transactions Website Payments
via PayPal

$20 The NEW DEI DVD + GET Power Club Membership-  (the advertised TV ad Special including a Free Electricity Witness Certificate and the shipping & handling )

 

The GET Power Club
Roger J. Hemphill
10861 Norcross Circle
Orlando, FL  32825
FAX 831-417-6228
info1@getpowerclub.com

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