COMMONWEALTH ASSOCIATE PROGRAM

MEMBERSHIP APPLICATION

Last Name…………………….M.I…………First Name……………………………..

Address………………………………………………………………………………….

……………………………………………………………….Zip/Post Code…………….

Mailing Address……………………………………………………………………………..

………………………………………………………………..Zip/Post Code……………..

Telephone Number…………………………….Cell Phone……………………………….

Fax (If any)…………………………………..email address……………………………..

I hereby apply for membership in the Commonwealth Associate Program and agree to abide by the terms and conditions outlined in the information provided in this web site.

I hereby wish to place my initial order of 6 copies of Financial Independence by Eddie Solomon @ $4.75 each. Further copies will be provided to me at the rate outlined in this web site.

I enclose Check/Money order for $28.50 plus $5 Shipping and Handling, a total of $33.50

Or Debit my Credit Card (Visa/MasterCard/Amex/Discover) for $33.50

Credit Card Number.....................................Expiration ...........................

Or I will pay through PayPal into account eddie@eddiesolomon.com

Date…………………………..    Signature……………………………..

Please print this document, email, mail or fax it. You can also provide the information by telephone. Please no email attachments.

Eddie Solomon

Transphere America

1900 Preston Road

Suite 267-223

Plano Texas 75093

Telephone (972) 769-9647

Toll Free (888) 673-2452

Fax (888) 673-2452