Order Form Numerology Healing Tones

Please Print this Form for FAX or Mail Orders.

C K Marketing
3325 Eastman Drive
Oklahoma City, OK 73112
FAX 405.840.1057

NAME:

E-MAIL:

Program Registration Name:

ADDRESS:

PHONE:

ID. No. ITEM DESCRIPTION PRICE

1. SW-200 Numerology Healing Tones Single User License $35.00

2.

3.

4.

TOTAL:

C K Marketing 3325 Eastman Drive Oklahoma City, OK 73112 FAX 405.840.1057
NAME:
E-MAIL:
Program Registration Name:
ADDRESS:

PHONE:

METHOD OF PAYMENT
Check [ ]	Money Order [ ]	MasterCard [ ]	Visa [ ]	PayPal [ ]

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

* Your credit card statement will list "Jan's Jewelry Supplies" 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-200	Numerology Healing Tones Single User License	$35.00
2.
3.
4.
		TOTAL: