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Application Form
for
Copywriter Protégé Program

Dear Paul,

I'm enclosing my payment for £477 plus £20 postage and packing and understand that I will also have to pay for any phone calls I make to you as part of this program.

I also agree that any of the proprietary secrets, techniques, methods, ideas, procedures or materials that I receive will be kept in strict confidence and not revealed in any form to anyone else without your written permission.

Date:
Name:
Address:
City:
County:
Postcode:
Phones (Day/Evening) :
(For order processing only)
FAX (optional):
Email :

Secure online payment by PayPal. You can pay by Visa, Mastercard or American Express
 
Amount (£) :  Postage & Packaging (£) :  Total (£) :
 
 
 
If you don't want to pay online by PayPal, FAX/Mail or Email the above form with your payment. If you are Emailing the form, leave off your card #/exp date and place an X here: . We'll call you for your card information.
 
Paul Lock
Incise Communications Ltd
Maple House, Bayshill Road , Cheltenham GL50 3AW
Phone: 0870 420 3181
FAX: 0870 220 1751
paullock@incisecomms.co.uk

            
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