Video Disk Gold Mine Mail/Fax Order Form

I authorize payment for the following product..

VideoDiskGoldMine.com v1 Mega Package Which Includes My 10 Physical Private Label Rights Products & Camtasia Cash Secrets Fast Action Bonus!

I am placing my order via...

Credit Card ( Visa, MasterCard, American Express & Discover)

Check  Money Order  Cash (US Dollars Only) 

By ordering, I realize that I am agreeing to abide by all terms located at the following terms page... http://www.VideoDiskGoldMine.com/v1/terms.html

My Order Information (We Can Only Ship To Your Credit Card Billing Address)

Full Name On Card_________________________________________________________

Credit Card Number: ____________________________________

Credit Card Expiration Date: _____ / ______

Credit Card Security Code: _______
(3 or 4 digit code located on the back of your credit card)

Your Shipping Information:
Name      _____________________________________
Address 1_____________________________________
Address 2_____________________________________
City        _____________________________________
State      _____________________________________
Country   _____________________________________
Postal Code____________________________________

Phone Number: ______________________________________

Email Address: ______________________________________
(Any Update Information Will Be Sent Here So Double Check Your Email)

Signature: _______________________________________________
             (I Authorize Seven Fourteen Inc. To Charge My Card 2 payments
              of $197 one today and one in 30 day, plus shipping of $25 in the
             USA/Canada or $47 for all other International locations)

Name Of Person Who Referred You: __________________________________
                (Orders Without A Referrer Listed Can Not Be Processed)

For Mail Orders, Send Your Completed Order Form To:
Seven Fourteen Inc.
7201 Haven Ave. Suite #E-355
Alta Loma, California 91701

Please Make Checks Payable to: Seven Fourteen Inc.

NOTE:  If you are ordering by Check, Money Order or Cash (US Dollars) don't forget to include your payment along with your completed order form.

For Fax Orders, Fax Your Completed Order Form To: 
1-800-714-0297 (Toll Free) or  00+1+909+6935443 (International)

Absolutely Jeremy! I am grabbing one of the Video Disk Goldmine v1 packages right now.

Please also reserve my fast action bonus so I get the maximum amount of value for my investment.  I know that over $50,000 and almost a year and a half of development went into the creation of these products and that I'm getting them for the ridiculously low price of only 2 payments of $197.00 plus shipping & handling.

I realize that my purchase is backed by your 100% money back guarantee and that my satisfaction is your number one priority.  I can have all of the products shipped to my home or office and sell them for 100% profit. If if I don't feel that I've received many times my investment in return I know that I'm entitled to return the product with at least half of the included 27 disks still sealed in their plastic for a prompt and courteous refund, no questions asked.