The Kugler System Order Form: Prices Effective 09/01

Print out this form, fill it out and fax it to: 908-722-8569
or call in your order: 1-800-3-KUGLER.

Component
Price Quantity
Estate & Business Planning Technique Book
 		$149 ________
Retirement Planning Technique Book
$149 ________
Kugler System for Windows (System Requirements: Must also have Microsoft Excel 5.0 or higher.)
 $390 ________
Seminar Selling Package -- includes Marketing Manual and seminar presentation in PowerPoint format. Available in two editions (circle the edition[s] you wish to purchase):

Estate & Business Planning and/or

Retirement Planning

$350 each edition ________
Total Price (Please ADD $6.95 for Shipping & Handling): $__________

To process your order, we need the following: 

		Your name:_____________________________________________

		Your signature:	_______________________________________

		Mailing address: ______________________________________

		City: _________________________________________________

		State: 	_______________________________________________

		Zip Code: _____________________

		Phone number: _________________________________________

		E-mail address: _______________________________________

		Primary company affiliation: __________________________

		Please charge my: (CIRCLE ONE)    American Express     Visa     MasterCard

		Card number:  __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __

		Expiration Date:  __/__/__