ORDER FORM FOR THE PDF VERSION OF "POWER PAUSE."

You are ordering the electronic version of the "PowerPause." the Cost is $97 and the charge will appear on your credit card bill under Surefire Marketing, Inc.
(phone-- 301-656-2424 or email: sales@surefiremarketing.com)

Please fill in the information requested below.

Warning - For Your Protection!
Due to an overwhelming amount of fraud, we do not accept online orders from free e-mail services such as Hotmail, Juno, Rocketmail, USA.net, or Yahoo.
If you want to subscribe using a free e-mail account, you must order by fax or mail. To protect you, we log the IP address and user information from every order, take fraud very seriously, and will prosecute criminal transactions.

First Name

Last Name

Address

City

State

Zip/Postal Code

Country

Phone (with area code)

Fax (with area code)

Email

If you prefer to order offline - please print this order form and complete.
You can fax your credit card payment information to 301-656-2471.
Or you may send credit card payment information, check or money order to:
Surefire Marketing, Inc
14312 Fairdale Road, Silver Spring, MD 20905 USA.
Please make checks or money orders payable to "Surefire Marketing, Inc" for $97

© 2001 Surefire Marketing, Inc.
14312 Fairdale Road
Silver Spring, MD 20905
Phone 301-656-2424 Fax 301-656-2471
Email: sales@surefiremarketing.com