"Goals"  Poster Order Form

Print this page, complete and mail in with payment.

Enclosed is my personal check, cashier's check or money order
for only $9.95 (send no cash) made payable and mailed to ACTION EVENTS at:

Action Events
P.O. Box 2071
Bullhead City , Arizona
86430-2071
U.S.A

Please send my ("Goals") motivation stunt poster to:
Please print.  Must be complete and legible.  Please allow 2-4 weeks for poster delivery.
(Please print clearly.)

Name:____________________________________________

Address:__________________________________________

_________________________________________________

City:_____________________________________________


State (or Providence):________________________________

Zip (or Postal Code):_________________________________

Country:__________________________________________


* For orders outside the U.S., cost is $15.00.