From:- Theodora Cochrane, Percydale Press, Nanella, Middlemarsh, Sherborne DT9 5QN
Priority Reservation Form

Yes. I Really Am Ready to Change My Life and Start Prospecting For Gold.

Please send me the First Month’s Manual as soon as possible so that I can get started

Plus
My Three Valuable Bonus Gifts which are mine to keep whatever I decide.

I understand that if I decide not to continue with the Course I can return the manual to you and receive a refund of my £39.99 but keep the Three Free Bonuses.
I also understand I  can cancel the Standing Order at any time by notifying my Bank.

Please fill in the details below and return the whole page to:-

Name …………………………………………………………………………………........

Address ……………………………………………………………………………………

…………………………………………………………………………………………….

………………………………………………… Post Code………………………………

E-mail …………………………………………..Tel …………………………………….

PLEASE ENTER YOUR BANK DETAILS BELOW

To: The Manager of …………………………………………….Bank/Building Society.

Full Branch Address……………………………………………………………………….

……………………………………………………………………………………………..

…………………………………………………..Post Code………………………………

Account number…………………………………Sort Code………………………………

Name of account e.g. (Mr. J.Smith) ………………………………………………………...

Please pay Theodora Cochrane, A/C No ______________ at _________________Bank

__________________, Dorchester, Dorset, _________ (___-___-___)

The Amount of:- £39.99 Frequency :-  Monthly - Until cancelled by me in writing.

Signed ………………………………………….   Date………………………………..

RETURN THIS FORM TO ADDRESS BELOW

‘Prospecting For Gold’, Percydale Press, Nanella, Middlemarsh, Sherborne, DT9 5QN

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