W2W: EMPOWERNET ORDER FORM Name: Address: Street # and name: Province/State: Country: Postal code/ Zip code: Email: (it is important you type in your correct email since this is how we provide you with the learning material. DO NOT WRITE YOUR EMAIL ADDRESS. MAKE SURE YOU TYPE IT. Your email address will be used solely for this purpose and will NOT be given out to third parties or used by our own company for promotional purposes.) To ensure we have your proper email address, send us an email to W2W@zizzoo.com and type "mail order" in the subject line. This is the email we will reply to with your download link attached. Signature: Confirm email address: Date: Amount enclosed (in US dollars): Once you have completed this form send this message and a cheque or money order (payable to "Zizzoo Digital Publishing") to the following address.... W2W: Empowernet Program C/O Zizzoo 599-b Yonge St Suite 126 Toronto, Ont M4Y 1Z4 Canada p.s. You will receive a confirmation e-mail and a link to the learning material the day that your order gets to us! Thanks again. The W2W Team 3 MOST IMPORTANT THINGS TO REMEMBER… 1) DID YOU SEND US AN EMAIL WITH THE TITLE “MAIL ORDER”? 2) DID YOU MAKE YOUR CHEQUE PAYABLE TO “ZIZZOO DIGITAL PUBLISHING”? 3) DID YOU TYPE YOUR PROPER EMAIL ADDRESS ON THIS FORM?