MY WORK FROM HOME OPPORTUNITY

 Rita Marie

Working From Home Opportunity

Membership Enrollment Payment

(Accepting Post Office Money Order Only)

Please Print Page, Fill Out and Mail Payment along with Enrollment Page To:

Rita Marie   121 PR 4906 Haslet, TX  76052

(Please Note: Allow 7-10 Business Days to receive payment plus another 3 Days to process payment). You must have an active Email Address to correspond once payment is received and completely processed to continue.

YES, I have read the Terms and Conditions and I Do Accept Them.  Please process my payment of ($35.00) to Become A Member. I further understand by mailing my payment delays my membership until fully processed.  I also certify that I am 18 years old or older and the information below is true and accurate.

My Payment is: Postal Money Order#_________________________________

(Please Print Clearly)        Circle One:  Mr.   Mrs.   Ms.   Miss 

NAME:____________________________________________________DOB:MO_____/YR_____

ADDRESS:_____________________________________________________________________

CITY:_______________________________________________ST:________ZIP:____________

HM#:_(_____)____________________CELL#:_(_____)__________________

EMAIL:_________________________________________________________

Thank You For Your Payment & GOD Bless!!