Sponsor Copy- Online Registration Information
Name____________________________________________ Date of Birth____________ Address____________________________City________________State____Zip_______ Drivers Lisc. #___________________________ S.S.______________________________ Home Phone_____________________________ Cell Phone_______________________ E-Mail__________________________________________________________________ Checking Account Info or Attach a Check Name on Account_________________________________________________________ Routing #___________________________________Account #____________________ Check # Location: Right/Center (circle one) Bank Name__________________________ Credit Card Information (for PWP Setup) Name as on Card___________________________ Exp. Date______________________ Card #______________________________________Verification #_________________ Billing Address___________________________________________________________ City___________________________________State________Zip__________________
Selected Qualifying Services (3 Qualifying Customer Points)
_____ Personal Web Site (PWP)--$19.95 per month (plus $19.95 set up) www.fhtmus.com/__________________ Password_____________________
---------------------------------------------------------------------------- _____True Essentials Mineral PH ($39.99 monthly) -Easy Ship=1 Customer Point _____True Essentials Joint Solutions ($39.99 monthly) -Easy Ship=1 Customer Point _____True Essentials Men's Pack ($39.99 ea. monthly) -Easy Ship=1 Customer Point _____True Essentials Women's Pack ($39.99 ea. monthly) -Easy Ship=1 Customer Point _____True Essentials Co-Q10 ($39.99 monthly) -Easy Ship=1 Customer Point _____True Essentials Fruit & Vegetables ($39.99 monthly) -Easy Ship=1 Customer Point _____True Essentials Hoodia appetite suppressant ($39.99) -Easy Ship=1 Customer Point _____True Essentials Platinum weight loss system (216.99)=5 Points (Month supply of hoodia, protein shakes, appetite control, fat blocker, fiber and energizer tea) ____True Essentials Gold weight loss system ($159.99)=4 points (protein shake, energizer tea, appetite control, fiber, fat blocker) ____ True Essentials Silver weight loss system (113.99)= 2 points (Month supply of protein shake and energizer tea). ---------------------------------------------------------------------------
_____Fon-Vantage ($29.95 monthly +$95 one time setup fee; good quality broad band required) _____DISH Network (Check website for details- same packages & rates as all other Dish customers- no equipment charges) _____GE Home Security- $29.95 per month - FREE equipment & installation _____Fortunetv.info- $19.95 per month (plus 19.95 set up) _____Fortune Health Care Card- $25 or more monthly plan _____Cell Phone (Family Plan with multiple phones = 2 pts.)- dozens of Free or discounted phones- same rate plans _____HomeVantage- Home or business phone- Local and/or LD (see PWP for details) _____IdentaShield- Identity theft insurance & free or discounted legal services ($15.00 one time sign up - $15.95 per month)
Parkinson-Erkrankung Die Parkinson-Krankheit bzw. Morbus Parkinson (weitere Synonyme: Parkinson’sche Krankheit, Paralysis agitans = Schüttellähmung oder Zitterlähmung, Idiopathisches Parkinson-Syndrom (IPS)) ist eine langsam fortschreitende neurologische Erkrankung. Sie zählt zu den degenerativen Erkrankungen des Extrapyramidalmotorischen Systems. Die vier Hauptsymptome sind Rigor (Muske
Rethinking Psychiatric Drugs: A Guide for Informed Consent, Grace E. Jackson, AuthorHouse, 2005,1420867415, 9781420867411, 420 pages. -- Are patients aware of the fact that pharmacological therapiesstress the brain in ways which may prevent or postpone symptomatic and functional recovery ?==================================================== Rethinking Psychiatric Drugs: AGuide for Informed Conse