Presented by: Network Service Bureau
PO Box 25M6 Little Rock, AR 72221
Ph: 501-219-2189 Fax: 501-223-5131           Order Form

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Name____________________________________ SSN ___________________
Address _____________________________________________________
City, State, and Zip ____________________________________________
Phone ________________________________________________________
FAX*_________________________________________________________
E-mail*_______________________________________________________

Jr.Sr. Matrix Sponsor’s Name: RICHARD MESERVE
Jr.Sr. Matrix Sponsor’s Phone: 207-483-6187

(*Please include for faster lead delivery.)
__________________________
YES! Include me In this Innovative sponsoring system.

Automatic Co-op Sponsoring System .........................$ 149.00

(AR Residents only) add 7X Sales Tax                        $_______
                                                            Total               $_______

(Returned checks must be replaced by a money order with a $5 returned check fee added.)

Attach payment and mail to NSB or fax to 501-223-5131.
Make check payable to NSB. REMEMBER, you must also enclose your GlobalOne
application and a check for $49.95 made out to GlobalOne, Inc. with your order.
OR you can sign up online for the Triple Your Money program at:
http://www.tripleyourmoney.com/10562RI (and get your own free webpage!)

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You have 5 days In which to cancel your order by phone or fax. You may
waive your right to cancel and be included in the Automated Sponsoring System
immediately by placing your intials here: _______

Signature: _____________________________________ Date: __________________
 
 

(attach your check here)

 

 

 

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