Print this form out before submitting:

Send the payment to:

Rita Williams

PO Box 351348

Westminster, CO 80035

 

for your info:

Real Estate address to be advertised:

Your name:

Real estate address:

City, State, Zip, Country:

 

Your phone:

Your email address:

Order By Check, Cash, or Money Order

Your Name:

.

Address of Property:

.

City/ County/ State? Zip:

..

Country:

.

Email:

.

Phone:

.

 

Check

Money Order

Cash

 

Quantity Info-Tube Flyer $7@ Total Amount Due:

Quantity Info-Tube SlideShow $25@ Total Amount Due