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Full Name: ________________________________

Address:___________________________________

City:______________________________________

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Country: _________________________

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Please enclose CASH or MONEY ORDER in the correct amount, U.S. Funny Money only.

• ___ LifeTime Federal Debt Elimination Services Membership $297
• ___ Total Amount Enclosed: _______________________

Mail order to:
Federal Debt Elimination Services
7 Deer Haven Ct.
Florence, Kentucky 41042