IMPORTANT!!!!

If you've read and understand the above, then print out this page, fill in the blanks and send it with a check or money order for five (5) US. dollars payable to:

[Robin w/Logo]
Brainwave ThoughtProducts, Inc.
222 S. Reeves Drive
Beverly Hills, CA 90212
USA


(If you're in a foreign country and sending a check in US funds is a problem, drop Raul a note to discuss payment options)

Or you can now pay online with your credit card!


Clubhouse Sign Up Form

Name: _________________________________

Email Address: ________________________

I hereby affirm:

SIGNATURE______________________________



Comments? How you heard about us? Picture ideas?

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Thanks For Your Support!


Comments, etc. to: rsf@netcom.com.
Copyright © 1998 Brainwave ThoughtProducts, Inc.