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Soccerhelp Mail Order Form

Name: _________________________________________
Mailing & Billing Address: ________________________________________________________________

________________________________________________________________

________________________________________________________________

Phone Number: __________________________ Email: __________________________
Credit Card Type:
(Please mark one box)
...Master Card
...Visa
...American Express
...Discover
Credit Card Number: _________________________________________
Credit Card Expiration Date: ____________________
CVV Number:
(the last 3 numbers on the back of your card on the signature line)
__________
Fill out the fields in this box to order an Advanced Soccer Tactics Subscription
Subscription Length: ...365 Days - $29.95
Username: ____________________ Password: ____________________

Fill out the fields in this box to order SoccerHelp Merchandise

Quantity Item Number Description Price Shipping Total
__________ __________ ____________________ __________ __________ __________
__________ __________ ____________________ __________ __________ __________
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__________ __________ ____________________ __________ __________ __________
Grand Total: __________

If you send a personal check, your order will be mailed after the check has cleared (usually 7 to 10 days). If a money order is sent, your order will be mailed out the day it is received. Mail this completed form and your payment or credit card information to:

SoccerHelp
1218 Knox Valley Dr.
Brentwood, Tn. 37027

Comments: _________________________________________

_________________________________________

_________________________________________

For faster shipment, you may fax your completed mail order form to: 615-373-9790

From www.soccerhelp.com
Copyright 1999-2008, David and Kay Huddleston

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