First Name: ___________________________________________________


Last Name: ____________________________________________________


Address: ______________________________________________________


City: _________________________________________________________


State/Province: _______________________________________________


Country: ______________________________________________________


Send me (check):

_ Chris Hodge Real Estate Mogul Kit


Enclosed is my payment, in the form of (check one):

_ Personal Check

_ Cashier's Check

_ Money Order

Return this Form to:

Chris Hodge
2939 North Drexel Avenue
Indianapolis, IN 46218


You can also order by submitting the above information through e-mail:

Geeloeeloee@Yahoo.com

You can pay through PayPal to the above e-mail address.