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CPN CONTRACT

Simply fillout every indicated box with the required information and click submit.  Your contract and application will automatically be emailed.  Any incomplete application will be disregarded!  We have added this feature for your convenience.   PLEASE DO NOT SUMBIT A CONTRACT UNLESS YOU HAVE MADE YOUR PAYMENT.  CONTRACTS WITHOUT PAYMENTS ARE DISREGARDED!

            LEGAL CPN "$79.99 CPN" PERSONAL BUSINESS CONTRACT AGREEMENT
            This Agreement made and entered into this day; Please Enter Date: ,
            By: MR / MRS Name:      And between Www.legalcpn.com. 
            Referred to as "Company". I hereby solicit COMPANY and agree to pay a business creation 
            processing fee to COMPANY as is described herein below.

            
            INITIALS:      
            SIGNATURE:     

            
            INITIALS:      
            SIGNATURE:     


             
            **CPN QUESTIONNAIRE; THIS INFORMATION IS NEEDED TO ESTABLISH YOUR CPN!
            **TO ENSURE A FAST RETURN PLEASE SUBMIT A COMPLETE APPLICATION!

            Are you (Mr/Ms/Mrs/Jr):    
            Clients First Name    :    
            Clients Middle Name   :    
            Clients Last Name     :    

            ** 	PLEASE LIST YOUR BUSINESS NAME HERE: 
                IF YOUR REQUESTING A PERSONAL BUSINESS NAME CPN SIMPLY TYPE YOUR NAME!  
                IF YOU WANT A BUSINESS NAME CPN/ PLEASE LIST THE NAME OF YOUR BUSINESS: 
            CPN Business Name     :    

            Clients Home Address  :    
            City                  :    
            State                 :    
            Zip Code              :    

            **TO PREVENT MERGERS PLEASE PROVIDE A GOOD CPN ADDRESS!
             
            Clients CPN Address   :    
            City                  :    
            State                 :    
            Zip Code              :    
            Clients Email         :    
            Phone Number          :    

            **PLEASE LIST YOUR SSN & DOB: 
              DOB IS MANDITORY FOR CPN MATCHING/ SSN IS OPTIONAL!
             
            Client SSN Number     :    
            Date of Birth         :    

            SPECIAL COMMENTS OR STATEMENTS; PLEASE LIST IT HERE
            

            **VERY IMPORTANT/ PLEASE LIST THE CORRECT PAYMENT INFORMATION BELOW:
              WE USE THIS INFORMATION TO CONFIRM YOUR ORDER AND BEGIN PROCESSING YOUR ORDER!
            1 Payment Email Address                 :    
            2 Date of Payment & Type of Payment     :    
            3 Name of purchaser listed on payment   :    

            ** OPTIONAL/ IF YOUR AN AFFILIATE PLEASE LIST HERE/ (IF NOT) PLEASE LEAVE BLANK
            Affiliate Name        :    
            Affiliate Phone Number:    
            Affiliate Email Address:   

            SIGNATURE AUTHORIZATION STATEMENT: BY SIGNING THIS CONTRACT YOU AGREE TO EVERYTHING 
            HEREIN, ABOVE AND TO LEGAL CPN DISCLAIMER.

            

            The information provided within this contract is authorized by:
            Contract Signature:     
            Your Full Name:         
            Authorization Date:     

            Signed By: Matt Cohen; A CONSUMER HOLDING TRUST; DBA www.legalcpn.com

            
            

BY CLICKING SUBMIT YOU AGREE TO THE TERMS HEREIN AND WITHIN THIS CONTRACT

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