6034 Mimosa Dallas Texas 75230         214.696.3510                       fax: 214.891.9799         
www. lodestaruniversal.com

ORDER FORM Entrepreneur’s Money-Raising Road Shows
Please print this form, complete the information, and 
mail to address listed above

How to approach investors and launch your dreams
2-Casette Audio Tapes

ORDERED BY: (Please print.)

Name ________________________________________________
First                                             Last
 
Address ________________________________________________
Street                                           Apt. #
 
Address ________________________________________________
City                               State                      Zip
 
SHIP TO (if different from "ORDERED BY" and please print.)
 
Name ________________________________________________
First                                             Last
 
Address ________________________________________________
Street                                           Apt. #
 
Address ________________________________________________
City                               State                      Zip
   
Daytime Phone (_ _ _) _ _ _ - _ _ _ _
Evening Phone (_ _ _) _ _ _ - _ _ _ _
  

Item                               Price

 Quantity Price Total
2-Cassette Audio Tape — $72.00    
Shipping & Handling
     Per Tape $5.00		 Texas Sales
Tax .0825%		  
Shipping &
Handling		  
  
                                       Total:     $  _______________
 
Method of Payment: All prices stated in US dollars.
 
Charge to my (check one)      
MasterCard
Visa
American Express
 
Please include credit card number and expiration date with charge orders!

Card Number:  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Expiration Date:  _ _ / _ _ (mm/yy)

Signature:  ________________________________________
                    (as shown on credit card)
 
Check