

To pay by check:
Payments must be in U.S. dollars drawn on a U.S. bank, or with an 
international postal money orders in U.S. dollars.  To order by check 
send this order form and a check to:
			
			Darian Rafie
			PO BOX 6128 
			Chicago, IL 60680
			USA

To pay by credit card:
Please go to http://www.bepinc.com/darian/fbpro and follow the registration instructions.


Order Form -- please print, fill in the requested information, and mail to the
address listed above:

Single Copies:			Rafie's Weekly Suite ____ copies at $20 each  ________
                            Rafie's Roster-Breakdown ____ copies at $10 each  ________	
Total payment							              ________


Name:             ___________________________________________
Address:          ___________________________________________
Address:          ___________________________________________
City, State, Zip: ___________________________________________
Country:          ___________________________________________

Phone(s):         ___________________________________________

EMail Address(es): ___________________________________________

Where did you hear about Rafie's Utilities? ___________________________________________

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