Rapid Response Challenge Membership Enrollment Form
Protect Your Place of Worship

"Yes Dr. Piazza! I'm philanthropic too! I understand that by purchasing four, Challenge Lifetime Memberships to donate to members of my place of worship, you will take $20,000 off the regular membership prices and give me the fifth, Challenge Lifetime Membership free of charge. I understand each Challenge Membership include the following benefits:

• Attend the following courses Free of Charge and As Many Times As You Wish:
  Two Day Defensive Handgun; Two Day Tactical Shotgun; Two Day Practical Rifle; Two Day Uzi Submachine Gun; Two Day Select Fire M16; Four Day Defensive Handgun; Four Day Tactical Shotgun; Four Day Practical Rifle; Four Day Uzi Submachine Gun; Four Day Select Fire M16.
• Guaranteed Placement in Free of Charge Courses listed above with Two Weeks Advance Notice.
• Invitation to annual First Family Reunion Celebration.
• Name etched in First Family Monument.
• Password to access exclusive and restricted First Family areas of web site and e-mail forum.
• First Family Card and First Family Hat.

Choose ONE Payment Plan:
90 monthly credit card payments of $99 for a total cost of $8,900. (Savings of $25,600 off the normal price)
36 monthly credit card payments of $199 for a total cost of $7,164 (Savings of $27,336 off the normal price)
A single payment of $4,900 (Savings of $29,600 off the normal price of 5 Challenge Lifetime Memberships!)

But I Must Act Fast! Offer Expires Midnight, Thursday, March 4, 2010 or as soon as all the free Challenge Lifetime Memberships are gone-- whichever comes first!

Name: __________________________________________________________________

Address: ________________________________________________________________

City: _____________________________________ State: ______ Zip: _______________

Home Phone: _________________ Wk: _______________ Cell:____________________

E-mail: _______________________________ Fax: ______________________________

Credit Card Number: ______________________________________ Expires: ___________
(VISA, MasterCard, Discover, American Express or a combination of cards for the single payment)

Signature: _____________________________________________ Date: ______________

WARNING*** Offer expires March 4 Deadline ***WARNING
Fax Immediately to 831.684.2137 or Call 1.800.987.7719 to Enroll Over Phone
BEFORE Midnight, Thursday, March 4, 2010 DEADLINE.
If paying by check, mail TODAY to PO Box 2619, Aptos CA 95001