Tom Danley

Tom Danley's "Tape of the Month"
Subscriber Application form for check or Money Order payment only.
Print This Application and fill in the requested information. Please Print.

Name_____________________________________________________________________

Social Security or Tax ID# ______________________________________(US & Canada Only)

Mailing Address ____________________________________________________________

City ___________________________ State _______________ Zip__________

Country _________ Email Address ____________________________ Phone # ___________

Your Choice: Tape_________ or CD_________

Sponsor Name: George Carpenter Sponsor ID #: 19172

Make your $35 check or Money Order - Payable to “Tom Danley Co.”($25 pays for your first tape or CD and $10 pays for your business start up kit from Tom Danley Co.)

If you intend to pay your monthly subscription fee for Tom Danley’s “Tape of the Month” by sending in a check or Money Order monthly. Please note that the subscription fee is due by the 1st of each month.Complete the following to pay your monthly subscriber fee automatically each month. This option is highly recommended.

Pay Monthly By Bank Draft
THE TRANSACTION DAY WILL BE THE 27th OF EACH MONTH.

I hereby authorize Tom Danley Companies to draft the designated account below for my monthly payment of $25.00, plus a $1.00 processing fee.

Bank Name______________________________________________________________________

Bank Routing Number (9 Digits): _____ _____ _____ _____ _____ _____ _____ _____ _____

Checking Account Number _____________________________________________________

Signature ________________________________________ Date ________________________

PLEASE INCLUDE A VOIDED CHECK ALONG WITH THIS FORM Note: There is a $5.00 processing fee for bank drafts returned for insufficient funds.

Mail This completed form and payment to: Profit First with Front Money, W261 S8300 Faulkner Rd, Mukwonago, WI 53149