2004 TOKYO GOLF COURSE DIRECTORY ORDER FORM
Just print out this form, complete it, and send or fax it to the address below together with the appropriate payment or credit card information. We require payment with your order. PLEASE PRINT.
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Yes, send me _____ copies of THE SUCCESS STORIES: JAPAN 2004 TOKYO GOLF COURSE DIRECTORY for the price of US$45.95 plus US$4.00 postage (US$7.00 postage outside the USA), a 35% savings from the US$69.95 regular price. My check payable to "Success Stories Media, Inc." is enclosed, or my credit card information appears below. For bulk orders of 3 copies or more, save money with our special bulk prices.
____ Enclosed please find my check or money order in the amount of $__________.
____ Please bill my credit card for $___________: Mastercard Visa (Circle One)
Name as it appears on card:__________________________Expiration:___________
Credit card number:________________________________ Signature:_____________________
Mr. Mrs. Miss (Circle One) NAME:__________________________________________
HOW DID YOU HEAR ABOUT US? _________________________________________
SUCCESS STORIES MEDIA, INC.
163 Amsterdam Avenue, Suite 222
New York, NY 10023 USA
Fax: (212) 579-3785
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