The Take Your Life To The Next Level Investment Certificate!
Note: If you're ordering at the regular price, please ignore these three YES boxes and the membership descriptions and go directly the "Program Descriptions" section and fill in the title of the the program(s) you want. If you have any questions, please send us an e-mail.
YES! I'm very excited and can't wait to use these life-changing programs to make my life a masterpiece.
YES! I'm investing within the next 72 hours, so please send me a Million-Dollar Bill for FREE.
YES! I understand my investment is covered by your Better-Than-Risk-Free Guarantee , allowing me to try the program(s) for 60 days at your risk. And, if I'm not happy with them for any reason, I can return them within 60 days and receive a 100% refund (less shipping). And the Million-Dollar Bill is mine to keep regardless.
Membership Descriptions
 QTY Price Amount
The Achiever's Club Membership - You get 12% discount off most programs. And the $30 yearly membership is refundable.   $30.00 $
Bonus: 1 One Million Dollar Bill - $10.00 value  
FREE
 $
 
$
*** PLEASE NOTE: For Purchases, simply take 12% off the Regular Investment Prices and we'll send you an e-mail to confirm your order and the correct discount rates. ***  
$
Program Descriptions
  
$
Title #1:   $ $
Title #2:   $ $
Title #3:   $ $
Title #4:   $ $
Title #5:   $ $
Title #6:   $ $
Title #7:   $ $
Title #8:   $ $
Title #9:   $ $
Sub-Total $
Shipping and Handling - U.S.A. Purchases - $6.00 for 1st item (6-tape set), and $2.00 each additional item. (Some programs have a higher shipping charge.) $
Shipping and Handling - Canadian Purchases - $8.00 for 1st item (6-tape set), and $3.50 each additional item. (Some programs have a higher shipping charge.) $
Shipping and Handling - International purchases - $12 for 1st item, and $5.50 each additional item. Or send us an e-mail to get the exact amounts for delivery to your country. $
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
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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