Book Order Form:

High Expectations and False Dreams

Quantity Ordered: ______

First and Last Name: ______________________________

Address:    ______________________________________

                    _____________________________________

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email:    ______________________________________

Amount: $10.00 / book (including shipping and GST)

Please send your payment together with this form to:

Retirementoptimizer.com Inc.

96 Willowbrook Road

Thornhill, ON, Canada

L3T 5P5