Automated Online Income
Streams Application Form

Please print this form, complete and post to the address below.

Yes Robert, I want to copy your methods and techniques for creating a number of automated online income streams and websites. Please rush me a copy of your brand new printed and bound 2012 fully illustrated study course - The Easy Way To Make Money Online - Everyday! so that I can start to earn money online straight away.

Please find enclosed my payment of £27.00

Payment Format - please tick

___ Cheque - Please make cheque payable to Capital Westland

___ Cash - Please use recorded delivery

___ Postal Order

___ Credit / Debit Card

Card Number: ..................../ ................../ ................./ .............../ ...............

Security Code: .................... Last 3 numbers from the back of your card - we require these numbers

Expiry Date: ................/ .................

Issue Number / Start Date: .............../ ............. (Switch and some debit cards)

Signed: ...................................................

Name: ..............................................................................

Address: ....................................................................................................

.................................................................................................................

.......................................................Postcode: ...........................................


  Please complete and post to:

  Capital Westland
  1052 Christchurch Road
               BOURNEMOUTH
               Dorset
               BH7 6DS

You can fax your card details to: 0870 136 6202