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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 )

Once your Club Membership is active, you just use the contact info below to inform Club owner of the product you want to purchase. We will send you an invoice which includes your 10% discount and when payment is received, the order will be processed.

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

 

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