International Working-At-Home Business Package Order Form

Its your turn for change!

    This unique opportunity is NOW available in YOUR country. Others in your nation are already enjoying a new lifestyle and financial independence while securing their family's future. You too are eligible to order the International Working-At-Home Business Package.

    If you are ready to act NOW, you can immediately order the International Working-At-Home Business Package which INCLUDES the Interactive Multimedia International Information Package, FREE samples of some of the actual "feel-the-difference" products involved, and all the other information and materials you need to set up your business and start making money now!

    The International Working-At-Home Business Package costs US$95.00, including air mail postage to your door.

Name:
Street Address:
City: State: Postal Code:
Country:

If you selected Other Country, please click here and fill out the next form. Thank you.

Daytime Telephone:
Evening Telephone:

Best time of day to reach you: 

E-mail Address:
(
This is very important - we cannot send any information without a valid e-mail address! )

Does your Internet Service allow you to receive attachments to your e-mail messages?Yes No

Would you prefer that we send you the Interactive Multimedia International Information Pack as an attachment to an e-mail message or by air mail?
E-mail Attachment:
       Air Mail:

Please use the text area below to tell us about yourself:

What is your primary language?

Which other languages do you know?

Do you have relatives, friends or acquaintances in any of the other countries on our Home Page? 
Yes No

 Your Current Occupation:
Male Female
Age:

 
Credit cards
 
What means of payment do you choose?
(
Our site uses secure server technology [SSL] for credit card orders.)
Visa        Amex        Master Charge        Diner's Club
Your Credit Card Number is:
Your Credit Card Expiration is (mm/yy): 
International Bank Check
 
 
     Depending on where you live, we will be meeting you by e-mail, telephone, or personally for your first orientation. You will then begin a series of trainings and follow-ups that can be done by phone, satellite, video, hands-on training, email, printed materials, and seminars to name a few. Much of the training can be done in the comfort of your own home.

   Please note that your information will not be sold to anyone or used for any other purpose.

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Updated: 3January 1999
Copyright ©1999 by Bird Communications —  ALL RIGHTS RESERVED