PILOT - EXTENSION COURSE TO NEW PUBLIC

PILOT - EXTENSION COURSE TO NEW PUBLIC

PILOT - EXTENSION COURSE TO NEW PUBLIC

This form is for you to enter in the data on each public that get the free extension course for the book they bought. This is a pilot.

Date / DD / MM YYYY
Name First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Phone - (###) - ### ####
Please contact this person by: Phone Email Letter Phone, Email or Letter
What their Ruin is:
Got the following Extension Course:
Extension Course Status Sent in First Lesson Contacted and will send in one Not reachable/No answer