Order Form

Print this form and mail or FAX it as indicated below

Please rush me a copy of the latest edition of the instructional course for the Contractor's Insurance Restoration Program entitled "The Easy Way to Triple Your Profits in the Contracting Business" I understand that there is a free ten day trial examination period and also a full year money back guarantee if I am not satisfied with the success that I achieve after putting the program into action.
 
Please send my package to: (Please print clearly)
Name:_______________________________________Title_______
Company Name__________________________________________
Address:_______________________________________________
City: _______________________________ State: ____ Zip:_______
Telephone number (______)________-_________________________
Circle your preferred payment option:
   A) enclosed a check -- or--
   B) filled out the charge card authorization below 
in the amount of $365.00 to cover the complete information package plus free shipping and handling. This deposit will be returned to me if I do not elect to retain the package after the ten day examination period or if, after putting the plan into action, I find it does not work for me in my area.
 
Charge Deposit/Payment to my:/__Master/ __Visa/ __ Discover Card.
Card #____________-____________-____________-____________
Expiration date: ____/____
Exact name as it appears on the card _______________________________________________________
Exact mail address of card statement _______________________________________________________
Signature:__________________________________Date:__________


  • Mail completed order blank to:

  •      Assured Contractors Expediting Services 
         1308 DeLaGuerra Rd., Santa Barbara, CA 93103-2115
  • or FAX it to : (805) 965-7590
  • or Voice Order: (800) 200-7580 or (805) 965-7580

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