Mail or Fax In Your Order
Print out form and either: Fax it To (702) 974-0551 or, Snail mail it to:

National Brotherhood Of Father's Rights --- Dennis M. Gac, President 
4601 W. Sahara Suite I Las Vegas, NV 89102
Father's Hotline: (206) 650-0250
E-Mail:  dennis@fathersrightsprotectionsystem.com

Yes, rush me the New COMPLETE THE FATHER'S RIGHTS PROTECTION SYSTEM ™

Name: _______________________________________ 

Street Address: ________________________________________________________

City: ______________________________ State:________________ Zip: ________

Country: ___________________________ Phone:(___)_____-__________________

EMail: ________________________________________
 

[Be certain to enter a physical mailing address-which may differ from your credit card billing address. If you enter a P.O. Box, your “System” will be sent by UPS Ground, taking up to 2 weeks to arrive.]

CHECK ORDERS:

I am enclosing a check or money order for a one time charge of $247.77 USD + Shipping & Handling

Please check:

UPS Ground Add $25.00; or

FedEx Add $55.00

CREDIT CARD ORDERS:

I want to charge this purchase to my credit card

VISA MasterCard AMEX Discover

I authorize a one time chargeof $247.77 USD + Shipping & Handling

Please check:

UPS Ground Add $25; or
FedEx Add $55

TOTAL: $________

Card Number: _________________________
Expiration Date: __ / __
Card ID Number: _________ [See Box for Card ID Info]

Signature: __________________________________________

I authorize The NATIONAL BROTHERHOOD OF FATHER'S RIGHTS to charge my credit card, as outlined above, for the purchase [including shipping & handling] of THE COMPLETE" FATHER'S RIGHTS PROTECTION SYSTEM™