EZ ORDER FORM


Specialty Gift Wholesaling

Print this form and complete, then fax to: (309) 452-7035, or mail to Nelson Publications

[  ] Yes, I want in on this fabulous opportunity!  Please process my application right away and rush my materials to me!

[  ]  Enclosed is $25.00 to show my good faith in planning to start a wholesale business. My $25.00 will be refunded to me upon accumulation of $250.00 in merchandise at lowest below wholesale prices.

Name:________________________________________________________

Address:______________________________________________________

City / State / Zip:________________________________________________

Ph: & Fax:_____________________________________________________

Email:________________________________________________________

Make a Check payable to Nelson Publications in the amount of $25, and paste it below, and then fax to: (309) 452-7035.

Or you may mail this form, and a check or money order in the amount of $25 to:

Nelson Publications, Box 745, Bloomington, IL 61702

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Attach your Check Here

Payable to Nelson Publications in amount of $25.00

Then Fax to: (309) 452-7035

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