Dax Fax Data Request Form

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(POSTAL) MAIL TO: DAX, Box 447, Centreville, MI 49032-0447 U.S.A.
{Note: You need to print off a copy of this page only to submit request}

Okay, Dean! You've convinced me to spring for a few measly bux to cause you and yours to send me that fascinating DAX-FAX DATA PACKAGE - by return Priority Mail! Enclosed is:
$10.00 (No PIN source data is being provided)

$5.00 - because here's that 6-digit PIN you were so concerned about: ____________

The above remittance is in the form of a money order, unused U.S. postage stamps or cash (because I know you do not want a check or chargecard for this teensy amount!)

Rush everything to:

______________________________________________________

______________________________________________________

_______________________________________ ZIP ___________

NOTICE: Unlike some, since our humble beginnings in 1962, in no way have we ever attempted to 'snow' anyone! We present valid, unusual and exciting home-based business opportunities which have the potential for helping an ambitious person create great personal wealth, but . . . we cannot and we do not guarantee or represent that you will earn a specific amount of money. We have no control over anyone's activities but our own, and should you elect to proceed with our program - or anyone else's - your results will vary from others. We wish you much luck - and we will help you in every way to succeed but we cannot promise any specific results. People can lose money as well as make money - sort of like the stock market, wagering in Vegas or life, itself! You proceed at your own risk! Plus, we offer no refunds! 'course, let's remember we're talking right now about a measly five or ten bux here . . .

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HEY!

To continue your quest to "Live Richly!" . . .

. . . when you finish here - after you've mailed the order form to cause that truly remarkable, earth-shaking, eye-popping, potentially wallet-fattening DAX FAX DATA PACKAGE to instantly come your way . . .

. . . Click HERE: www.DAXRICH.com

. . . and visit our hugely popular 100% FREE weekly e-mega-zine, the likes of which you have never-ever seen before on the Internet!