CSC DISCOUNT SMART CARD REPRESENTATIVE

To become a representative for CSC one must first purchase a one year CSC Smart Card  for $10.00 or a lifetime membership card for $25.00.

Upon receiving his own membership card a member may purchase One Year Discount Smart Cards for $4.00 per card with a minimum purchase of five cards.

The CSC member may then sell the cards for $10.00 for One year cards.  The CSC member must provide his customer with a printed list of CSC business in his or her area.  The member will download the list from the CSC web page.

SUBSCRIBE BELOW

Name and title of person completing form:

____________________________________________________________________

Mailing Address: __________________________City:________________State______Zip:__________

Phone: ( ______ )____________________Extra Phone:( ______)_________________

Email address_____________________________FAX_________________________

Web Page Address______________________________________________________

____Buy a individual CSC Discount “Smart Card” Membership   # of Cards      Subtotal  

                              One Year Membership cards are $10.00 each:   ______       ______

                       Lifetime Business Membership Cards $25.00 each:    ______        ______

____Purchase additional One Year Cards.  

          Minimum purchase five cards.  Each set cost $20.00 each:

                   First and 5.00 for each additional card you purchase:    ______        ______

                                                                                              Total # of Cards    Total Cost

                                                                                                         ______       ______

Please indicate where you heard about the CSC Discount Smart Card._______________

_______________________________________________________________________

If you learned about the card from our Web Page or another, please provide the reference code they provided so we can give credit to the appropriate sources.

Make check or money order out to CONSUMER SAVERS CLUB.

Mail form with check or money order to:  CSC Smart Card

                                                                       Box 2922

                                                                 Lawton, OK 73502