YOUR EASY EMAIL RETAIL 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 ADDRESS

Step 1a- Please enter your mailing and shipping information. All required.
Please use a shipping address for delivery. NOT a P.O.Box number.
   Name      -- Required
   Company   -- Required
   Address   -- Required
   Shipping  -- 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 and shipping information of the person you want this 
shipped to if different then Step 1a. All required.
   Name     
   Company  
   Address  
   Shipping  
   City        State 
   Zipcode     Country 
   Phone      
   Arrive By Date Must be at least 1 week from today.
   

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)

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)

Step 5- Please check one or more. (Desired)
Please have a representative CALL ME. (Give best time in Step 4 above.)
I would like to receive notice of NEW PRODUCT RELEASES in the future.
I would like information on your WHOLESALE BUYER PROGRAM.
Please send me a FREE BROCHURE and Product Information.
I have taken nutritional SUPPLEMENTS in the last 5 years.



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 Quantity and Product Name:
==== ENTER YOUR PRODUCTS ====
Qty of
Qty of
Qty of
Qty of
Qty of


=== NOT SURE PLEASE HELP ME ===


Step 2- Shipping and Handling Charges are:
(We ship to clients all over the USA and the World.) (*)
Check for Standard Shipping.
Check for Express Shipping.
Check for International Shipping.


Step 3- Total your order in US dollars or leave blank. (Additional comments and instructions here.)

Special Notes: We will try to reduce these shipping costs for you based on total package weight.
(*) If possible, we will ship your order by UPS else USPS-Priority or Federal Express.
(**) Shipping Charges.
(***) Sorry California - The Law said we must charge you sales tax (8.75%).


Step 4- Would you like us to AutoShip this order each month to you?
We will AutoShip this order about the 5th of each month.
You can stop your AutoShip order at any time by calling us before the 1st of each month at 916-373-0505 and leaving us a message with your name and address.

YES, Autoship this order to me each month and charge my credit card.
NO, Do not Autoship this order each month.


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: / CVV2: What is This?
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 -

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


UCC We can ship all over the world. Click here to convert from US currency to your currency. UCC

Copyright © by Major Communications - ALL RIGHTS RESERVED
We Are Rated With RSACi as a Family Site at www.rsac.org
i140-g167



. . . . . . .