Mail or Fax in your order

(click here to return)

Print out the following order form and either:
 

1. Fax it to:
   
   Local: 02-9460-8098
   International: 61-2-9460-8098
    
2. Snail mail it to:
   AffirmWare:
   30/116 Shirley Road
   Wollstonecraft NSW 2065
   Sydney
   Australia
    

Yes, rush me the Sculptor Method.
 

Address Details:

First Name:

.
_________________________.
 

Last Name:

.
_________________________.
 

E-mail Address:

.
_________________________.
 

(double check spelling as this is where your download instructions for the "Sculptor Affirmation Software" will be sent)
 

Company:
(Optional)

.
_________________________

Address:

.
_________________________

City:

.
_________________________

State:

.
_________________________

Zip:

.
_________________________

Country:

.
_________________________

Phone:

.
(___) ____ - ______

(  ) I am enclosing a check or money order for Sculptor $97.00 (USD) Please note that we do not accept checks by fax, so if you are paying by check you must mail it in.
(  ) I want to charge this purchase to my Credit Card

Credit Card (Check One)
 

VISA
Bank Card
Master Card

Credit Card #:

.
_________________________.
 

Expiry Date:

.
_________________________.
 

Name on card:

.
_________________________.
 

Signature:

.
_________________________.
 

Other:

Where did you
here about Sculptor

_________________________
 

Your credit card will be billed for a total of $97.00 (USD). Installation instructions will be emailed to you once your payment is processed, usually within 24 Hours.
 

I authorize AffirmWare to charge $97.00 (USD) to my credit card for the purchase of Sculptor Affirmation Software.