how to put your affairs in order - simplified, auto debit order form



			contact: info@seriousprofits.net

Fax or Mail Auto Debit Form

Serious Profits Connection
Order Department
4415 Woodbine Rd.
Louisville, TN 37777

Fax: 1-865-983-9423
Phone: 1-877-563-7834

USA checking accounts only.

Print and completely fill out the form.
Insufficient information will result in a non-processed order.

Once we receive the completed form and your order has been processed we will send
you an email to confirm your order. {usually withing 24-48 hours}

**Price is** **$18.95** **each for large quantity orders call for pricing.**

**1-877-563-7834**
How To Put Your Affairs In Order -Simplified - Quantity - _____- x $18.95 = _$_____________
Tennessee Residents add 9.25% sales tax on book total. - _________ - x 9.25% = _______________
Shipping - Handling {per address} charged according to quantity - list below - _____________________
*Shipping Rates = 1 book $4.00 - 2 books $6.00 - 3 books $7.50 - 4 books $8.00 - 5 books $9.50
Calculate your bill for books, shipping, tax if applicable and enter your total here and in check amount. - _$___________________________

Personal Information:

Name: _____________________________________________

Address1: __________________________________________

Address2: __________________________________________

City: ______________________________________________

State: __________________________ Zip: _______________

PAY TO THE

ORDER OF

Serious Profits Connection

Bank Name: ____________________________________________________________

Bank City and State: _____________________________________________________

Bank phone number with area code: {____________}___________________________

Memo: How to Put Our Affairs in Order-Simplified

Signature: ______________________________________

Bank routing number {9 digits}	\| Check number \|	Bank Account number
`\|: ________________________ \|:`	\| __________ \|	_________________________ \|\|'

Home phone number: ________________________________________

Email address: ______________________________________________________________________

Your order will be shipped to the address above unless otherwise specified below.
*NOTE:* If you order 2 books and ship to 2 addresses you will be charged $4.00
shipping for each book.
If you split your order indicate quanity to be ship to the address below: _____
Name: _____________________________________________________
Address: ___________________________________________________
City: ______________________________________________________
State: _____________________________________________________
Zip Code: __________________________________________________

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