		REGISTRATION/ORDER FORM

	SUBLIMINAL PERSUASION for Windows v. 1.0


Transformation Publishing
861 NW 85th Terrace, #1811
Plantation, FL 33324
		

Name:	
	
Address:   	 
	   
City/State/Zip:    
	          			
Telephone:    	(	)
	     	

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 Quant.	 Product			 Unit Price   Cost
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|	|Subliminal Persuasion for 	| $20.00     |		|
|	|Windows (v. 1.0)		|	     |		|
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			Add $4.00 for shipments	     |		|
				outside the U.S.     |		|
 						     ------------
					   TOTAL     |		|
						     ------------

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