Your Private Gold-Mine - Enrolment Form:

"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, I will move into position to start receiving my $1,500,000 or £1,000,000 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 US DOLLARS, BRITISH POUNDS ONLY. We prefer online payment by PayPal, Storm Pay or e-gold however we will accept cash in one of the two currencies if online payment is not possible.

"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. (If you include your email address, this speeds up the process no end.)

"I want to receive over $1,500,000 or £1,000,000

Please enrol me in The Private Gold-Mine Organization:"

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

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

Post/Zip Code:............................................... Country:...............................................

Date:............................................................

Email: (If Available).............................................................................................

YOUR SPONSOR IS:

Azza Wasfi , P.O.BOX 69 , BAB EL LOUK , 11513 CAIRO , EGYPT.

If possible, please pay by Storm Pay, e-gold or cash, in either Pounds , Sterling , US Dollars , Euros . checks should be made out for £10 , $15 or E15 to : Azza Mohamed Ebn Elseoud Wasfi ,P.O.BOX 69 , BAB EL LOUK , 11513 CAIRO , EGYPT .

Post this form with your Enrolment Fee of E15 , $15 or £10 to your Sponsor.

(Post to United Kingdom from the US takes no more than 2-3 days, 2 days from the Europe, and 3-4 days from Australia, New Zealand and the Far East.

Or you can conduct the entire transaction over the Internet - see below.)

For your own benefit do write your details clearly so your money can reach you.

You may speed up the process by paying online right now.

Don't forget to email your enrolment form to [email protected] at the same time.(just copy and paste it into the email and fill it in).  
(You will be brought back here after payment.)

The only thing you can do wrong is not fill in the form correctly, so please take care!

IF THIS ENROLMENT FORM HAS NOT PRINTED OUT NEATLY

CLICK HERE >> Separate Order Page<< FOR A SINGLE ENROLMENT FORM.