The Great Relationships Store
              Dick Wulf, MSW        Jean Wulf, MSW, LCSW              

SIGN-UP FORM

FOR SELLING LICENSES FOR
SAFETY & HEALTH PROMOTIONAL CARD GAMES

 

Your Name: __________________________________________________________________

Your Address: ________________________________________________________________

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City: _________________    State: ________     Zip: ____________

Your Phone Numbers with Area Codes:

______________________________          _______________________________

I want to help families, couples and children by selling licenses to stores and services for Safety & Health Promotional Card Games. I know that your estimates of earnings are not guarantees and agree to not hold you or your company responsible for the results or lack of results of my efforts. Therefore, I am enclosing $45 for your Start-Up Kit for selling licenses to stores and services for Safety & Health Promotional Card Games.

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Sales Area I am requesting*: ______________________________________________________

         * This should most likely be your own community, county, or geographical region. Areas are
            given on a first-requested basis. If you want to discuss this with us first or do this faster, call
            us at 1-877-906-5423. This is a voice mail and we will be back in touch with you ASAP.

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