Fax Power
** Fax on Demand
Application
Print out this form and submit
it with your fax material
Sponsor # 10819
Date _________
{ } I am enclosing _________ pages (up to 10) to be installed in my Exclusive Fax Power box! I am enclosing one year payment @ $5 per month, $60 total.
{ } Please sign me up immediately! I will forward the material to be installed in my Fax Power Box at a later time. I am enclosing one year prepayment @ $5 a month, $60 total.
Fax my assigned confirmation and Fax on Demand number to this fax number ______________
I acknowledge that this $60 prepayment is 100% Non-Refundable, and that my one year time period will begin immediately.
Signed __________________________
Please complete the Following Information
Name _____________________ Company _________________________________
Mailing Address ______________________________________________________
City __________________ State __________ Zip __________ Tele _____________
Fax ___________________ SS # or Fed ID # __________________ Sponsor ID # 10819
Don't delay! Send your Completed application along with your Fax Material & Prepayment by Mail, FedEx, or UPS Today to:
Fax Power, Edward Boch &
Associates
203 Elden Street, Suite 404
Herndon, VA 22070
Tele 703-759-2998
Fax 703-759-0451
Office Hours: Mon **Fri 10am to 4pm EST
In a Hurry!! Want your number Immediately? Fax this completed order & Fax your $60 check to 703-759-0451.
We will fax your ID Number and your exclusive Fax Power box immediately! You may fax your application and check, however you MUST NOT fax your Fax material. We will not load faxed material. Your fax material must be sent by mail, FedEx, or UPS.
Wonda Enterprises