Keep In Touch/Prospector Disk
Order Form

______ YES, I want to order Keep In Touch/Prospector Diskette @ $49.95 + $7.95 Shipping and Handling. This includes the diskette and the BONUS Prospector Report. Total Cost: $57.90

We ship by UPS so we must have a physical address for delivery. UPS does NOT ship to P.O. Boxes.

Make your check or money order payable to and mail it to:

Road to Wealth, Inc.
8983 Okeechobee Blvd., Ste. 202-307
W. Palm Beach, FL 33411
Phone: 561-883-2222
FAX: 561-793-3629

Or FAX us the following information for your credit card:

_____ Mastercard _____ VISA _____ AMEX _____ DISCOVER

E-Mail Address:__________________________________________________

NAME: __________________________________________________________

ADDRESS: ______________________________________________

CITY/STATE/ZIP: ______________________________________________

DAYTIME PHONE:__( ________)_________________________________

ACCOUNT NO. _______________________________________________

EXPIRATION DATE:___________________________________________

SIGNATURE: _________________________________________________

Your credit card statement will show this charge payable to Road to Wealth.

The shipping and handling charges are for domestic & continental USA deliveries only. We ship only by UPS. Orders to Hawaii and Alaska are sent by UPS 2nd Day Air for a total charge of $22.95.

Florida Residents add 6% sales tax.

For orders being shipped to Canada, E-mail for rates.

Orders paid by credit card or money orders are usually shipped within 2-3 business days. Orders paid for by check will be shipped after the check clears our bank, usually 5-7 business days.