Mail or fax in your order

Print out the following form and mail it to:

Pritchard Consulting & Associates
P.O. Box 1009
Ladson, SC 29456

Or, fax it to (775)-719-7990

[   ] Yes, process my order for The Neo-Tech Discovery immediately

[   ] I am ordering before June 15, send me The Neo-Tech Discovery for free, just for ordering God Man: Our Final Evolution.

Enter your personal information

Name:_________________________
Email:_________________________ (please double check spelling)
Company (optional):______________________
Address:_________________________
City:__________________________
State:_________
Country:________________________
Zip:_____________
Phone:_____ - _____ - ________

[   ] I am enclosing a check or money order for U.S. $97 made payable to Pritchard Consulting & Associates.

[   ] I want to charge this purchase to my credit card.

Credit Card (check one):

___VISA
___MasterCard
___American Express
___Diners Club

Card Number:______________________
Expiry Date:___________
Signature:______________________

I authorize Pritchard Consulting & Associates to charge U.S. $97 to my credit card.