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Coastal Vacations Purchase Order ...
COMPLETE AND PRINT OR CLICK SEND
This is your receipt if you have funded your
purchase by one of the methods below
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Ship to: (Please Print or Type)
Presented by:
Jan Verhoeff
Coastal Directors
507 N. 11th Street
Lamar Colorado 81052
719-336-4036
jan@thecoastalsite.com
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All the fields are required to send this form via the "Submit" button
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| PACKAGE |
PRICE
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QUANTITY
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TOTAL
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Level 1:
The Coastal Vacation Package including 5 Cruises, 25 Land Vacations, deep discounts on condos, Hotel/Motel accomodations,
industries lowest airfares, FREE CARNIVAL CRUISE, $2,000 in airfare discount coupons .... and more
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$1,295 x
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| Level 2:
Seminar Package (Finance, Travel, Motivation) |
$3,500 x
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| Premier Package:
Level I & Level II both included and saves $800 in overall cost. |
$3,995 x
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TERMS and INSTRUCTIONS: Complete and mail in this form with a
cashiers check or money order in full. You may also email it by clicking "Send", and your Coastal
Director will contact you to arrange payment.
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SUB-TOTAL:
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Freight:
$25 Level I or II
$40 Premier
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TOTAL:
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DIRECTORS RELEASE:
As per our agreement with the independent business people of
COASTAL VACATIONS, you must be a certified Director to purchase products directly from Coastal Vacations.
(Sorry no exceptions) - N.B.
Management
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