K*I*D*S Shield (TM) Child Protection System

ill Out The Following Subscriber/Distributor Application Today!

(If you prefer, you may retrieve a blank application and send it in at your leisure.)

Name:
Address:
City:
State:
Zip:
Telephone:
Fax:
E-Mail:
SSN or Federal I.D. #:

NOTE: To succeed in this business you need to sign up for all three of the below items:

K*I* D*S kit
AIAP
Your choice of the Marketing Success Paks

Your total start-up cost will be only $89.95 if you buy the standard Marketing Success Pak, or only $104.95 with the Custom Marketing Success Pak.

Qty:

K*I* D*S Shield InstantRESPONSE KIT

Qty 1 = $39.95 each
Qty 2 = $31.00 each
Qty 3+ = $27.00 each

	Marketing Success Pak	$50.00 each
	Custom Marketing Success Pak (same as above but with your contact information typeset into the flyers, forms, etc.	$65.00 each
	Neither Marketing Success Pak

Automatic Income Assurance Program (AIAP): Automatically qualifies you for full commissions each month without the necessity of ordering monthly. You are automatically shipped one K*I* D*S Shield Kit and your credit card is billed, or your bank account is automatically withdrawn for the $39.95 kit price on the first of each month. By checking this box and supplying my credit card number or voided check*, I am authorizing the automatic payment. I may cancel this automatic payment at any time by giving a 30-day written notice of cancellation.

*	All requests for automatic checking account withdrawal must be accompanied by a voided check from the checking account to be withdrawn and mailed to the Home Office.

Payment Method:

You may use your Discover, Mastercard, or Visa credit card to pay for your order immediately from this form. If you would feel more comfortable mailing, faxing, or phoning in your order please select the alternate payment method below.

Discover Mastercard Visa

Name (as it appears on the credit card):
Credit Card Number:
Expiration Date:

Alternate Method

• K*I*D*S Home Page
• The Problem
• The Solution
• The Market For K*I*D*S Services
• The Compensation Plan
• Marketing Support System and Company Information
• Distributor and Subscriber Application

Andrea Ariola Ordodi
K*I* D*S Independent Distributor #242

E-Mail:		andreaordodi@juno.com
more contact info

Parenting