Your Private Gold-Mine

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  Enrolment Form

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"YES… I wish to join the Private Gold-Mine Organization and increase my wealth tremendously. I have completed the section below with my name, postal address and email address if available. Please send the Introductory Details to get me started. I understand that after I make my one and only purchase of one Product for the price of $15 or £10 or E15, I will move into position to start receiving my $1,500,000 or  £1,000,000 or E1,500,000 income. I understand that I am under no obligation at any time other than to supply Product AFTER I receive payment." 

ALL payments MUST be in CASH: US DOLLARS, BRITISH POUNDS or EUROPEAN EUROS ONLY unless your Sponsor is in the same country as yourself in which case cheques are acceptable. The reason for this rule is that it costs more than the enrollment fee for your Sponsor to cash the check if it is from a foreign banking system. Foreign cheques will be destroyed without comment. Make out "same-country" checks to your Sponsor’s Business Name. CASH ONLY, in US$, GB$ or Euros, if you are enrolling from a different country to that of your Sponsor. "ENCLOSED is my $15 or £10 or E15 Enrolment Fee. I expect my membership documents within 7-14 days."

ENTER YOUR DETAILS BELOW: Your address should be simple and clear. Include your full postal address, and email if available, CLEARLY so that you can be paid.  

"I want to receive over $1,500,000 or £1,000,000 or E1,500,000 Please enroll me in The Private Gold-Mine Organization:"  

TO SPEED UP THE PROCESS BELOW WE HAVE MADE IT EASY FOR YOU TO MAKE THE INITIAL ENROLMENT PAYMENT THROUGH PAYPAL. TO ENROL INTO THE PRIVATE GOLD-MINE SIMPLY CLICK ON THE PAYPAL BUTTON BELOW:

Name Mr./Mrs./Miss/Ms: …………………………………………………………………………..............

Full Postal Address: ……………………………………………………………………………….............

…………………………………………………………………………………………………….......................

Post/Zip Code: ………………………  Country: ……………………… Date: ………………….........

Email: (If Available) ……………………………………………..........  Box To Quote: ..................

YOUR MEMBERSHIP DETAILS CAN BE SENT MUCH QUICKER BY E-MAIL SO IT IS VERY IMPORTANT THAT YOU ENTER YOUR ADDRESS IF YOU HAVE ONE, THIS WILL GET YOU ON THE WAY TO YOUR MILLION IN A MATTER OF DAYS !   

YOUR SPONSOR IS:  

Natasha Victorien, 28 Ceduna Way, Quinns Rocks, Perth, Western Australia, 6030, AUSTRALIA 

For all International Enrolments Please send CASH ONLY Cheques, in GB£s, US$s or Euros. to:
“Natasha Victorien”.

Post this form with your Enrolment Fee of $15 or £10 or E15 to your Sponsor.  For your own benefit do write your details clearly so your money can reach you.