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Form Instructions
Simply fill out this form and we will contact you with additional information on this program double check all information that you provide below... All fields marked with an asterisk (*) are required. To Order by Phone Call 801-318-6678.
 
Contact Information
First Name*
Last Name*
Address*
City*
State*
Zip/Postal Code*
Country*
Email*
Home Phone*
Work Phone*
 
Product Information
 Exponential Success Series ($40.00).
 Magnetic Persuasion Manual ($79.95)
 Weapons of Influence Workbook ($39.95)
 Present With Power Audio Seminar ($99.95)
 Magnetic Persuasion Audio Seminar ($495.00)
 12 Secret Laws of Persuasion Video ($79.95)
 60 Minute Consultation ($400.00)
 Complete Magnetic Persuasion Package ($595.00)
 
Payment Information
Name on Card*
Credit Card Number*
Exp Date*
Exponential Success Program $35.00 + $5.00 S&H = $40.00 total
 
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