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Texas Millions Registration Form

For Visa, Master Card, and On-Line Checks, Please use the Order Buttons below for Instant Access.

If American Express, Discover or Snail Mail Checks/Money Orders, Please complete the form below.

or

$24.95 Email Processing Kit (Standard)
$34.95 Email Processing Kit (Deluxe) w/interNETACTIVE software
$19.95 Mystery Shopping Kit
$9.95 Get Paid to Surf the Net
$9.95 Get Paid to give Your Opinion
$39.95 All 4 of the above programs
$29.95 interNETACTIVE (Web Promotion Software)
$19.00 Checks by Fax, Phone or Email Software

or

For Snail Mail, just fill out the form, print it then submit it, mail your copy with your check.

Your E-Mail Address

Agent's E-Mail

Name

Address

City

State/Providence

Zip or Postal Code

Country



$24.95 .. Email Processing Kit
$19.95 .. Mystery Shopper Kit
$ 9.95 .. Surf the Net
$ 9.95 .. Give Your Opinion
$39.95 .. All 4 of above programs
$29.00 .. interNETACTIVE Web Promotion Software
$34.95 .. Email Processing Kit + interNETACTIVE Software
$19.00 .. Checks by Fax, Phone, Email Software

Credit Card

AMEX
Optima
Discover

Check or Money Order

Credit Card #
Expiration Date (MM/DD/YY or MM/YY)


Souders Enterprises, P.O.Box 162774, Fort Worth, TX 76161