Order Form Numerology Calcualtor Select

Please Print this Form for FAX or Mail Orders.

C K Marketing
3737 NW 69th Street
Oklahoma City, OK 73116
FAX 405.840.1057

NAME:

E-MAIL:

Program Registration Name:

ADDRESS:

PHONE:

ID. No. ITEM DESCRIPTION PRICE

1. SW-400 Numerology Calculator Select Single User License $20.00

2.

3.

4.

TOTAL:

C K Marketing 3737 NW 69th Street Oklahoma City, OK 73116 FAX 405.840.1057
NAME:
E-MAIL:
Program Registration Name:
ADDRESS:

PHONE:

METHOD OF PAYMENT
Check			American Express			MasterCard			Visa

CREDIT CARD INFORMATION *
NAME ON CARD:
CARD NUMBER:
EXPIRATION DATE: ____________	SIGNATURE:

* Your credit card statement will list "C K Marketing" and not "2Near the Edge". *

Program Registration Name

To purchase a Single User License you must provide the name of the user to register the program to. Please note that this name will be printed in the footer of all reports and locked within the program.

	ID. No.	ITEM DESCRIPTION	PRICE
1.	SW-400	Numerology Calculator Select Single User License	$20.00
2.
3.
4.
		TOTAL: