NEWS-SPEAK ORDER PAGE

SPEAKEASY SEMINARS INC.

P.O. Box 69, Bentall Station, Vancouver, B.C. V6C 2L8
Telephone: (604) 684-8951 -- Fax: (604) 684-3173
E-mail -- SPEAKEASY SEMINARS INC.

NEWS-SPEAK NEWSLETTER ORDER FORM

SpeakEasy Seminars issues a monthly newsletter dealing with topics
important to personal development. You can subscribe to this
newsletter for $29.95 per year provided to you by E-Mail.

Two Ways To Subscribe

1. By ordering direct from our 24 hour telephone line.
You can speak to a live operator anytime at
(604) 684-8951.
2. By Internet Order Form. Just fill out the form below
and send it directly to our offices.

INTERNET ORDER FORM

Your Name:

Company:

Company Phone:

Company Fax:

City, Province/State, Postal Code:

Home Phone:

E-mail Address:

Your Order:

Method of Payment:

Name On Credit Card:

Credit Card Number:

Credit Card Expiry Date:

Questions and Comments:

TO NEWS-SPEAK NEWSLETTER
TO SPEAKEASY HOME PAGE
For further information - Please feel welcome to contact us at: SpeakEasy Seminars Inc.


Your Name:
Company:
Company Phone:
Company Fax:
City, Province/State, Postal Code:
Home Phone:
E-mail Address:
Your Order:
Method of Payment:
Name On Credit Card:
Credit Card Number:
Credit Card Expiry Date:
Questions and Comments: