YOUR SPECIAL GIFT CERTIFICATE ORDER FORM

Please Note: We will NEVER rent or sell or give away our customers data to anyone.
All information is held strictly confidential!
Also, we NEVER keep any customer information on the Internet.
ALL customer information is kept in a Secure computer at our Private location.

+++ ALWAYS FAST AND PERSONAL SERVICE +++

SECTION 1 of 4 - YOUR ADDRESSES

Step 1a- Please enter your mailing information as the sender. All required.

   Name      -- Required
   Company   -- Required
   Address   -- Required
   City        State  -- Required
   Zipcode     Country  -- Required
   Phone         Fax  -- Required
   Best Time To Contact You   -- Required
   Email     -- Required
   ** Telephone Number and Email Address Are Required Entries. **

Step 1b- Enter the mailing address information of the person you want this mailed to. All required.
   Name     
   Company  
   Address  
   City        State 
   Zipcode     Country 
   Phone

If you have ordered from us (Major Communications) before, you can skip to Section 3 below.

Step 2- How did you Hear of our Web Page and Where did you Link From? (Required) What Keyword?: Which Search Engine?:

Step 3- To serve you better, Please tell us Why you viewed our Web Page? (Desired)

Step 4- We are Listening To YOU. Please address any questions you have here. (Desired)

SECTION 2 of 4 - YOUR STATISTICS

Please Help Us Serve You Better. ALL Kept Confidential. Thank You. (Desired)
My Age Is: Under 20 20 to 29 30 to 39 40 to 49 50 to 59 Over 59.
My Health Is: Good Fair In Need Of Help I Dont Care.
I am: Single Married.
I Use The Internet: Daily Weekly Monthly First Time.
I Purchase Items Using The Internet: Daily Weekly Monthly Never Once Before.

SECTION 3 of 4 - YOUR ORDER (Required)

Step 1- Type In The Amount Of Your Gift Certificate:
Minimum Amount is $25. Suggested Amounts are $50, $100, $200.
Gift Amount $ USD

Step 5- Enter Type Of Payment: (Our Email Is More Secure Than Using Your Card In Any Store)
For Money Order - Complete This Form then Print and Mail It with Your Payment Payable To Major Communications.
Visa Mastercard Discover American Express Contact Me For Credit Card Information
Your Card Number : Expiration Month / Year: /
Your Name On Card:
Cardholders Address: -- Your Billing Address
Bank Phone Number: -- IMPORTANT: Turn your credit card over to the back side and enter the Bank Phone Number and Name from it. This is an 800 or 888 Customer Service Phone Number, NOT your phone number.

SECTION 4 of 4 - A QUESTION FOR YOU
If you could make an extra $1,000.00 each month, Would you devote 5 hours working at home each week?

Yes

No
TELL A FRIEND - WE LOVE REFERRALS

- Click Here To Place Your Order Request Now -
This is a gift certificate from you (the sender) for health care products sold on this site. Once you send this form, we'll receive it and send you an order confirmation via email so you'll know your order is being processed. We process most orders the same day we receive them and ship them out the following day. You can call your order to us at 1-800-50-MAJOR between 4:00 PM and 6:00 PM PST Weekdays or Fax your order anytime to (916) 372-3007 by printing this order form.

You may also CALL or FAX or MAIL us your orders, questions and requests.
Make check payable to Major Communications in US Dollars.
MAJOR COMMUNICATIONS
104 - 6th Street
West Sacramento CA 95605 USA

Call:(916)373-0505
Fax: (916) 372-3007
www.MajorCom.com
Email: Major Communications
Call: 1-800-50-MAJOR (Orders Only)
Independent Distributor

We can ship all over the world. Click here to convert from US currency to your currency.
Copyright © by Major Communications - ALL RIGHTS RESERVED

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