Mail Order Form

United States Orders Only

Yes, Carl. Please send me a copy of "The Travel Agent's Relational Marketing RoadMap" Program. I understand that I am protected by your 100% Money Back Guarantee.

100% Risk-Free Money-Back Guarantee

If, in the next 60 Days, you decide that this package will not help you improve your marketing, you can send the product back and I'll return your money.  It's that simple!

Instructions:

1. Print this form
2. Fill in the information
3. Mail the completed form with a check or money order to:

Carl Bennink
TravelAgentSuccess.com
3823 Hanover Hill Drive
Valrico, FL 33594

Shipping Address (No P.O. Boxes):

Name _______________________________________________________________

Address _____________________________________________________________

City _______________________________ State _______________ Zip __________

Phone _____________________________ Fax _____________________________

E-Mail Address _______________________________________________________

Payment Type: [ ] Money Order [ ] Check  (No credit cards please. Use online ordering to pay by credit card)

Amount: $309.50 ($277 + $12.50 S%H)    Florida residents total = $331.17   (includes 7% Florida sales tax)

Payable to: Carl Bennink

How did you hear about this product?

[ ] Search Engine (Google, Yahoo, etc.)  [ ] I subscribe to the Newsletter  [ ] Recommendation of friend or colleague

[ ] Other ______________________________

For Customer Service CALL 813-681-4013 (If you get a recording please leave your name and number and we'll get in touch with you as soon as possible).