Mail in your order

 

Print out the following order form send a cheque to
Roger Dagenais. 

Snail mail it to:

Roger Dagenais.,
423 Phoenix Cr
Orleans Ontario, K1E 2G2

P.S. You must send us an email IMEDIATLY AFTER you have sent a check and make sure you have supplied us with the right email address so we can send you your report. As soon as check is received we will send you the report!


Yes! I would like to claim my copy of the "Bladder Infection 12 Hour Cure"

Complete Info Below  
   

Name:  ______________________________

E-mail: _____________________________
(double-check spelling as this is where your
download instructions for the eBooks will be sent)

Company (optional):  __________________
Address:  ____________________________
City: _______________________________
State: ______________________________
Country: ____________________________
Zip: ________________________________
Phone: (_____) ______- ________


I do not accept USA money orders! They Must Be International
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