Click2Enter Mail-In Programing Form

First Name *

Last Name *

Phone *

Email *

Organization *

location of where the click2enter is going City, State County Cross Roads/ Address *

Address *

Street Address To Ship Back

City

State

Country

Postal code

Number of Click2Enter`s needing programmed *

Collect Payment 1-$75 2-$150 3-$225 4-$300 *

$ 75

$ 150

$ 225

$ 300

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

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GS Marketing Management