Mail or Fax ORDER FORM

INSTRUCTIONS:  Print out this order form (printer icon or File, Print from your top menu bar, then complete and mail or fax to us at the address below.

 ü oYES – I know a real opportunity when I see it!  Rush me the Dryer Vent Cleaning e-Book Manual “business in a box”, the Video CD that plays on DVD player, AND the valuable Bonus Items worth over $358, so I can get my own business started right away.  I understand that my order comes with a FULL YEAR risk free guarantee.  I have read and understand the following Notice and Disclaimer:

 ü oI'M ORDERING BEFORE THE RED EXPIRATION DATE - Send me the COMPLETE "DRYER VENT CLEANING-LITE" INSTANT BUSINESS IN A BOX! – I know a FABULOUS DEAL when I see it!  I'll get the Phone & Fax Consultations, all the Free Bonus Items worth $358.00 AND the Manual Dryer Vent Cleaning Tool! I understand that my order comes with a FULL YEAR risk free guarantee.  I have read and understand the following Notice and Disclaimer:

NOTICE AND DISCLAIMER-The Legal "Fine Print": All references to earnings, income and profits are for illustrative purposes only.  No warranties or representations of any kind are made herein that you will earn any particular amount of money, or any money at all as a dryer vent cleaner.  Income examples herein are based on an average job price of $79.95 and an average time per job of about 45 minutes, your experience may vary.  You may charge more, less or any amount you see fit as a self employed business person.  You may actively advertise and promote your dryer vent cleaning business, or sleep all day, watch all your favorite daytime TV programs while enjoying your favorite beverage and make absolutely nothing. Your earnings from dryer vent cleaning depends solely on your own efforts, amount of work, advertising and promotion, and the number of prospective customers in your area.

RUSH MY ORDER TO ME AT:

(PLEASE TYPE OR PRINT NEATLY)

Name: ______________________________________     Day Phone: ______________________

Street Address: _________________________________  Apartment/Suite No. _______________

City: ___________________________    State: __________________  Zip: __________________

E-mail address: ________________________________ Evening Phone: _____________________

o     Complete Dryer Vent PDF e-Book and Video CD  (plays on most all DVD Players) only $49.95 plus FAST PRIORITY MAIL-Delivery Confirmation Shipping & Handling of $4.95, total $54.90

o     I want the Training Video on VHS Video Tape with my e-Book - FREE - Only $4.95 add'l shipping & handling, total order $59.85

o     Complete Dryer Vent Lite package; all bonus items shown, PLUS Manual Dryer Vent Cleaning tool...I'll get it ALL including the $358.00 in Free Bonus Items for only $99.95 plus FAST PRIORITY MAIL-Delivery Confirmation Shipping & Handling of $6.95, total $106.90

o     My check for the above amount is enclosed. (5 business days wait)    o     A Money Order for the above amount is enclosed. (IMMEDIATE Shipping)

o     Charge my credit card:   (Immediate Shipping)

  Credit Card:  o MasterCard    o Visa    o  American Express    o    Discover

  Card Number: _____________________________________  Expiration Date: ________

  Address where I receive bills for that credit card:  o Same as above,  or:

________________________________________________________________________

Street Address                                             Apt             City            State       Zip

I agree to pay the above amount, in accord with the card issuer agreement:

SIGNATURE: X __________________________________________

Fax orders:  You can order by fax and pay by check or credit card.  (Please allow to 10 banking days for checks to clear). To order by fax and pay by check, simply write out and sign your check, payable to "Clark Consolidated Industries, Inc." then tape your check as indicated below and fax to us at 702-735-2415 (24 hours/7 days)

TAPE CHECK HERE for fax orders

Mail to:

Clark Consolidated Industries, Inc.

9424 Darwell Drive        Dep't DV

Las Vegas, NV  89117-0602

Questions?  Phone us at 702-735-0503

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