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>Priority Order Form

 
 

1) Order by mail or fax (you may pay by check payable to Brooks & Co.  ) - Fill out this PRIORITY ORDER FORM and send it to:

Brooks & Co.
16107 Kensington Dr.  Suite 119

Sugar Land, TX 77479

 

For fax: fax it directly to my office fax at 1-832-201-4190

Yes, rush me the Rollover Coach 3 ring binder, and Audio CD coaching Sessions including the transcript of The Audio CD and a Rollover Tracking sheet to help you stay Organized

Payment Options:

[  ] Check made payable to Brooks & Co.                        [   ]    Gold Package $497
[  ] MasterCard                                                                     [   ]    Silver Package $297
[  ] Visa
[  ] American Express
[  ] Discover

Special Code on Credit Card (If applies)  _____________

 

Name: _____________________________________________

Firm: ______________________________________________

Address: ___________________________________________

City &State: _________ ___ Zip/Postal __________Country____

Phone: ______________ E-mail _________________________

Signature:  __________________________________________

Name On Card _______________________________________

Card Number  ____________________Exp Date_____________

The Charge on Your Credit Card Will Appear As Brooks & Co.

[  ] Rollover Coach Gold "Top Producer Package"   $497 

[  ]  Rollover Coach  Silver Package                            $297

Mail to: Scott Brooks 16107 Kensington Dr.  Suite  119   Sugar Land, TX 77479
FAX to:  832-201-4190