Check/Money Order Form

Please Mail A Copy Of This Completed Form With Your Check Or Money Order To:

Certificate Data Group

1930 Village Center Circle, Suite 3408

Las Vegas, NV 89134


**Please Make Your Check Or Money Order Payable To: Certificate Data Group
Please keep a copy of your completed form for your records.


( )YES! I want to get started making money at home as a Data Entry Processor. Enclosed is $67.00 for my training package that will also include my travel and entertainment certificate bonuses.


**Please Print Clearly


Name ______________________________________________________

Address ____________________________________________________

City _______________________________________________________

State _______________________________ Zip Code ______________

Telephone Number __________________________________________

Email Address (ie: johndoe@aol.com)_____________________________________________

Email Address Written Again For Verification _________________________________________

**PLEASE NOTE: We will mail your training package and travel and entertainment certificate bonuses
by Rush Shipping as soon as your payment is received. Checks take an extra 14-21 days to clear.

We welcome you aboard and look forward to working with you!