Introducing Michele's “The Mystical Success Club™” Silver Level Order Form Hello my dear, Congratulations on deciding to become a member of this fantastic membership. You could be only minutes away from realizing your true potential as a HUGE Success, with HUGE profits! Dr. Lawrence T. Bond, Treavor Rogers, and myself, look forward to working/playing with you. With our members worldwide we are dedicated to helping keep your vibration HIGH and your dreams alive PLUS you will be in our Powerful Prayer List the minute you join. Your first month membership fee of $19.95 a month will be charged to your card after you join and you will receive your 50% code and confirmation letter as soon as you join. (Click here to join at silver level to save 2 months fees) We will be e-mailing you with the live tele conference call numbers and interviews from experts each month. So please be sure to put in your correct e-mail address this is VERY important. Also think about what a powerful and AMAZING gift A Mystical Success Club Membership could be for a friend or loved one. Even if they simply get prayed for every day and do not use ALL of the many and varied benefits our club gives and gives, what a great thing you have done for a loved one and for less than $5 a week. We give more than that to wash our cars or buy coffee. I know that even with ALL of the many benefits our members receive this gift could be just the blessing someone requires. After you join simply come back to the form and join them up. We can say it is anonymous OR we can let them know you have gifted them for a birthday, promotion, congratulations or just because you love them. May this membership give you an increase of money, awareness, love and grace! Please fill out as completely as possible We Accept:  Visa MasterCard American Express Discover If you wish to pay via American Express or Discover cards please call our office in San Diego California at 1 (858) 268-8688 (In USA you may use our 800 number at 1-800-809-9705) or print out this form, fill out, and fax to 1 (858) 277-0629) For MasterCard or Visa go ahead and fill out form below. Card Number:    (enter number without spaces) Expiration Date:    (MMYY) Card Code:  (Last 3 digits on back of your Credit Card)   Customer Billing Information First Name:  Last Name:  Company:  Address:  City:  State/Province:  Zip/Postal Code:  Country:  Phone:  How did you hear about us? E-Mail:    Person you are gifting membership to: First Name: Last Name: Address: City: State/Provence: Zip/Postal Code: Country: Phone: Email: How would you like to gift this membership? This powerful membership was gifted to you from: 1) An anonymous friend 2) Your birthday from (we will add your name) 3) Congratulations from (we will add your name) 4) Because I love you and you deserve the best (we will add your name) 5) Create your own message no more than 10 words. We will be emailing you your 50% code in 5 minutes! If you ever wish to cancel your membership e-mail us at TR@MusiVation.com and simply give 30 days notice. (The fees you have paid before 30 days cancellation is given are non refundable) Note:Remember "Get Three and We Return Your Fee when you join the Platinum Level"