Work At Home Mailing Circulars Program

Check/Money Order Form

Please Mail A Copy Of This Completed Form With Your Check Or Money Order To:

Premier Enterprises
21001 San Ramon Valley Blvd. #A4102
San Ramon, CA 94583

**Please Make Your Check Or Money Order Payable To: Premier Enterprises

Please keep a copy of your completed form for your records.

Your Mailing Circulars package will contain information for accessing your FREE BONUS GIFTS valued at over $300.

Please Choose Your Preferred Method Of Shipping:

____ Regular Shipping - $34.95. You will receive your package within 8-10 days from the date we receive your payment.

____ RUSH SHIPPING - $34.95 PLUS $5 (Non-refundable) Rush Delivery Same-Day Order Shipping - TOTAL $39.95. You will receive your package within 2-4 days from the date we receive your payment.

Name ______________________________________________________________

Address ____________________________________________________________

City _______________________________________________________________

State _______ Zip Code _____________ Telephone Number __________________

Email Address (ie: johndoe@aol.com)_____________________________________

Email Address Written Again For Verification ________________________________

Thank You For Your Order!