Regular Order Form for Products on How to Meet, Date, Attract, Seduce Women

Please print this order form to mail your order. If you want to order online, using your credit card, please go to our Secure Online Order Form. Ship To: (Please Print) Name:______________________________________________________________________ Address:___________________________________________________________________ City:_____________________________State/Province___________Zip_____________ Telephone:________________________ (in case of a question about your order) Your E-Mail Address:________________________________ Thanks for your order! Item # Description Quantity Price Total |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| |________|________________________________________|_________|______|______| SUBTOTAL |______| SHIPPING (see below) |______| Texas Orders Add 6.50% Sales Tax |______| P.S. Checks Must be From American Banks Only TOTAL |______| Shipping & Handling : United States Orders: 1 item $4.00, each additional item...$1.00 Canadian Orders: 1 item...$10.00, each additional item...$3.00 * Foreign Orders: 1 item...$12.00, each additional item...$8.00 CREDIT CARD ORDERS To charge order, please check-> __Visa __MC __American Express __Discover Credit Card Number_______________________________Expiration Date_____/_____ Security Code ___/___/___/___ (3 digit number on back of card for Visa, MasterCard, and Discover, 4 digit number on front of American Express) Card Holder's Name (please print)__________________________________________ Card Holder's Signature____________________________________________________ Mail this order form with your check or M.O. to: Gemini Publishing Co., Gemini Publishing Co., PO Box 293535, Kerrville, TX 78029 USA. Phone: 830-496-3337 P.S. For those of you that wish to pay for your order using PayPal: To send payment: Log in to your PayPal account, click Send Money tab, and pay using my email address:

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