		    Hormonal Forecaster Order Form

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PLEASE FILL OUT THE FOLLOWING:
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[Fields with an asterick (*) are required; others are optional]

Your Full Name: _________________________________________ *

Email Address: __________________________________________ *

Country (State if US) of Residence: _____________________

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TOTAL AMOUNT DUE:
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Registration Fee: 		$25.00

Number of Copies: 	      x _______

Optional CD ($5.00):	      + _______  (See Below*)

Total Price:			_______

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INSTRUCTIONS:
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Mail your check or money order (made payable to Brian 
Frackelton) and this completed form to the below address...

	Brian Frackelton (HFC)
	PO Box 64
	Cuyahoga Falls, OH
	44222

Thank you for your patronage!  I will contact you via email 
once I recieve your payment (please allow an additional seven 
days for check clearing).  If you have any questions or 
problems, e-mail me at TBW1999@aol.com.

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ABOUT OPTIONAL CD:
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* You can have an Optional CD mailed to your house for an 
additional $5.00 for shipping and expenses.  The software on 
the CD is the same as that which you download.  This is 
available upon request although most will NOT need or want to
take advantage of it.  If you want this optional hard copy, 
include your mailing address and additional $5.00 for one 
CD's expense and shipping.  This offer is NOT valid for 
online transactions - only for those sent via standard mail
to the developer's post office box.


Hormonal Forecaster - Copyright  2000 Brian Frackelton.