Please provide us with the address where you want to receive your materials.

Your Name:
Email Address:
Mailing Address:
City, State & Zip:
How did you hear about us? (Referral ID):
Would you recommend this site to any friends? (list email addresses):

After filling out this form, print it on your system and mail to:
Candi Jefferson
CANDI
Consumer Alliance Networking Demonstrations Inc.
P. O. Box 1192
St. Louis, MO 63188-1192

PAYMENT METHOD
Mailing in your payment
Enclose $40.00 (Shipping and handling and sales tax included)

Personal Check * Money Order * Cashier's Check *
* Make payable to CANDI

If you mail in your payment, you'll receive your Wholesale Retailer Business Kit within 2 to 3 weeks.

NOTE: All returned checks (insufficient funds, uncollected funds, etc.) will be charged an additional $25 return processing check fee.
IMPORTANT: All personal and cashier's checks will delay shipment of your package of materials by at least 10 business days to allow for bank clearance.

Hit File/Print to make your copy of this form. Then mail it to us:
Candi Jefferson
CANDI Processing Dept.
Consumer Alliance Networking Demonstrations Inc.
P. O. Box 1192
St. Louis, MO 63188-1192

To place your order over the phone, call us at 1-877-379-6114
To Fax your order use 1-435-309-1173  (24/7 fax service)

Hitting this submit button will send us an e-mail
copy of your file. You will still need to print it and mail with your check.

     

© 2001 Consumer Alliance Networking Demonstrations Inc. All rights reserved.