Mail in your order
Print out the following order form and send it to:Cassie Simons
2 The Lane
Grafton Regis
Towcester
NN12 7HW
U.K.
Yes, please rush me my confidential questionnaire via email.
Name: _________________________
Email: _________________________
(please write clearly)Address: _________________________
City: _________________________
State: _________
Country: _________________________
Zip: _________
Phone: (___) ____ - ______
( ) I am enclosing a check or money order for $77 (must be made payable to Mr K.S.Martin, Cassie's agent)