ORDER FORM

ORDER FORM

( Please Print This Order Form, Fill It Out. Please Write Clearly.)

Please Send Money Order Only. No Check or Cash Accepted.

Name:__________________________________________________________________

Address:________________________________________________________________

City/State/Zip:____________________________________________________________

Phone Number:__________________________________________________________

E-Mail Address:___________________________________________________________

Total Amount Enclosed

Mail This Order Form with payment to:

Natinal Home Employment Association

P.O. Box 2044, Mansfield, TX 76063