You may print this page and mail to:

Jobs-From-Home.Com
6880 W Fairfield Dr #144
Pensacola FL 32506

Please mail to me the Charter Distributor Program:

Name__________________________________________________

Address________________________________________________

City_____________________________________
State________________  Zip Code____________

Telephone Number____________________________________
E-mail Address_______________________________________ Required

I am paying $45.00 by [ ] Check  [ ] Money Order  [ ] Credit Card  [ ] Cash

Make payment payable to: Andrea Taylor

Credit Card Order Information:

[ ] VISA  [ ] MasterCard  [ ] Discover  [ ] American Express

               

Name on Card___________________________________________

Credit Card # _____________________________ Exp. Date _________

Charge this Amount _________________

Signature ________________________________________________

Thank -You For Your Order!

U.S.A. And Canadian Mail Orders Only.

Canadian Orders - Send Credit Card Information or Money Order in USA Dollars Only.
No Canadian Checks Accepted.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Charter Distributor Information -Sell The Home Employment Directory