Please print this form, enter the required information and fax to:
Austin Research Order Processing Department
(410) 374-8087
COST FOR MEMBERSHIP
The cost for complete online access to the Stud Secrets Program PLUS the (4) other sites
included in our SPECIAL OFFER is just $ 149.97. This is a one-time cost.
You will receive full access to: massivemember.com, orgasmmastery.com, betterejaculation.com,
studsecrets.com, advancedseduction.com (5 sites total)
BILLING INFORMATION
FULL NAME: ____________________________________________________
CVV2 or CID (3 or 4 digit security code): __________________________________________
IMPORTANT: THE SECURITY CODE IS A REQUIREMENT. WE MUST HAVE THIS CODE IN ORDER TO PROCESS YOUR ORDER.
VISA/MC/DISCOVER:Visa, MC and Discover all use 3 digit codes located on the back of the card, following the credit card number. AMERICAN EXPRESS:American Express uses a 4 digit code located on the front of the card, separate from the credit card number.
ORDER AMOUNT: $ 149.97
TOTAL AMOUNT: (order amount) $ _____________________
CUSTOMER AUTHORIZATION
I hereby certify that I am the authorizing card holder of this account.
I understand that I will be billed for the total amount calculated above.
I understand that the
name appearing on my credit card billing statement will be either
"Austin Research Institute via InternetSecure" or "PAYPAL AUSTINRESEA".