Printable Order Form

 ......................................................................
 Yes! I want to lose 10 pounds in 3 days. Please send me the
 ABC Diet Program. Enclosed is my check/money order for $10.00.

 (The following information is for order fulfillment
 only and will never be sold or used for any purpose
 other than to send your order to you.)

 First Name________________________________

 Last Name_________________________________

 Address___________________________________

 City______________________________________

 State_______________Zip___________________

 Telephone (optional)______________________

 e-mail (optional)_________________________

 Send $10.00 check or money order to: 
 ABC Diet
 PO Box 8100
 Laguna Hills, CA
 92654-8100

 Allow 2 weeks for delivery