Date:_______________
|
|
Date:_______________ |
Please send me my Coast Club Resort Vacation and membership package
ASAP.
I understand this includes all the membership items listed on wholesaletravelbargains.com,
a Lifetime Hotel Etc. Gold membership ($499 Value), and 5 of your Tax-Only
Room
Certificates (and that this enables me to purchase the certificates
for just $1 plus
shipping - as many as I want). I further understand that I will be
able to renew all
the additional membership cards in the package, and many of the vacations
for just
$89.95 per year.
I also understand that this does NOT include the business package for
reselling these
items. On that basis, here is my order:
| Terms | Ship VIA | Totals |
| Credit card, cashiers check, or money order in full with order | UPS...$15
FedEx..$35 |
= |
| Discounts on Condos, Hotels, Restaurants, Golf, RV
hookups, Cruise Lines, Car Rentals and: Free Carnival or Royal Caribbean Cruise (you pay
Plus over 20 Fabulous Vacations (small fee and
|
Qty___X $999 | = |
| I'd like to pay by (circle one)
Money Order * Master Card * Visa * AmEx * Disc Pay Pal (sales@kosoma.com) * Storm Pay * Cashiers Ck |
Total + Shipping | = |
CC # _________________________________ Expires _________
3 Digit security code (on back of card - last 3 digits)_________
If Pay Pal send to Sales@kosoma.com We Need The Form Signed No matter
how
you pay. Mail or Fax this signed form to us with your order. No
memberships will be
shipped until we have this signed form.
Print name ________________________________________
Signature _________________________________________
I authorize Kosoma Publishing to charge my CC or Account
via Pay Pal for the amount listed for the Coast Club
Vacation Membership Package. I understand that this
is a final, non-disputable transaction.
Fax this form to Kosoma @ (603) 484-0249 -
OR:
If paying by Money Order or Cashier's Check (No Personal
Checks Please) send your order to:
Kosoma Publishing * Box 89 * Moyers, Oklahoma 74557 Phone
(580) 298-2778