Step 1

Step 1: To register and pay for Susie and Otto Collins'--"Instant Relationship Breakthroughs" program by mail, print this form now.

Step 2: Fill out the form that you printed.

Step 3: Mail this completed form and your check or money order in US funds to:

Collinspartners
P.O. Box 14544
Columbus, Ohio 43214

Purchaser Information
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Product Order Information

Quantity	Description	Total
	"Instant Relationship Breakthroughs" Program, plus 6 bonuses	$67.00
	Shipping and Handling within USA and Canada	$10.00
	Shipping and Handling outside USA and Canada	$19.50

Total sent by check or money order $_____________________