GROWING TALLER SECRETS

FAX OR MAIL ORDERING

IF PAYING BY CHECK OR MONEY ORDER
Print out, complete and MAIL this form with check or money order
for $39.95 in the US  or  $43.95 outside of the US (shipping included)
Make it payable to:
Atlantic Business Communications, Inc.

IF PAYING BY CREDIT CARD:
Print out, complete and MAIL this form
or FAX it to: 646-219-1464 ___________________________________________________________________
Please circle one
Visa / Master Card / Discover / American Express

Credit card number:_____________________________________________
Credit card expiration date__________/_________/____________________
Name as it appears on card :_______________________________________
Card holder's signature___________________________________________
Card Billing Address:____________________________________________
City________________________________ State______ Zip____________
Country_____________________________

SHIPPING INFORMATION

Name________________________________________________________
Address______________________________________________________
City________________________________State ______Zip____________
Country_____________________________

Phone______________________________
E-mail______________________________

Our address:
Atlantic Business Communications, Inc.
1375 Broadway, Suite 600
New York, NY 10018

Thank you for order!