Blast Your Bench

BlastYourBench.com Order Form

To order print a copy of this page, fill it out, and mail it to the address below.

(Please Print Clearly)
NAME_____________________________________________________________
E-MAIL ADDRESS (e-mail address is required.!)____________________________

ADDRESS__________________________________________________________

CITY__________________PROV / STATE______POSTAL / ZIP CODE________

PROGRAM AMOUNT

Please send me The "Blast Your Bench" Program!
Don't forget to include my FREE Bonus Reports!
$ 47

Payment Method: Cash___ Check___ International Money Order___

We can only process "International Money Orders". Please DO NOT send regular money orders.
If buying a money order, make sure to ask the clerk for an "International Money Order".

Please make checks and money orders payable to "Lee Hayward".

MAIL TO:

Lee Hayward
P.O. Box 13175
Station Topsail
CBS, NL, A1W 2K1
Canada

As soon as your order is received
you will be contacted via e-mail.

PROGRAM	AMOUNT
Please send me The "Blast Your Bench" Program! Don't forget to include my FREE Bonus Reports!	$ 47
Payment Method: Cash___ Check___ International Money Order___