Name: _________________________

Email: _________________________
(please double check spelling)

Company (optional): _________________________

Address: _________________________

City: _________________________

State: _________

Country: _________________________

Zip: _________

Phone: (___) ____ - ______

For payment, you have two choices.  Either mail us a check or money order or provide your credit card details.  Providing your credit card details will allow us to process your order faster, typically less than 24 hours from receipt of your form.  If paying via check or money order, we will process the order once the payment has been received and cleared. 

If writing a check, please make sure and make it payable to "Accelerate Online".  If you make it out to "How To Break 80" it will be returned to you.

Please check one of these two options:

(  ) I am enclosing a check or money order for $37.00 USD (eBook Only-No Shipping Charges) or $49.00 USD (Hard Copy +eBook) Plus Shipping and Handling Charges.*

*Your shipping and handling charges are determined by where you want the book shipped. 

USA= $7.95

Canada= $11

All Other Countries= $13

So, if you live in Florida and wanted the physical copy shipped there, your charges would be $49 + $7.95 shipping and handling= $56.95 USD.

Please note that we do not accept checks by fax, so if you are paying by check you must mail it in.

OR

(  ) I want to charge this purchase to my Credit Card

Credit Card (circle one):

• VISA
• MasterCard
• American Express
• Discover

Card Number: _________________________

Expiry Date: _________

Signature: _________________________

• I authorize Accelerate Online to charge my credit card for the purchase of How To Break 80 Products plus associated shipping and handling charges as described above.

Go Back to Homepage