PREMIUM ORDER FORM for Jonathan Pond's The New Affluence program   (print out this form and mail or fax it to us at the addresses listed below)

Available Premiums	Fair Market Value	Quantity	Station Cost	Subtotal
Smart Planner Questionnaire*	$ 40.00	______  X	$ 20.00 =
Smart Investor Questionnaire*	$40.00	_____  X	$ 20.00 =
The New Affluence Book (signed)	$ 20.00	_____  X	$  4.00 =
Smart Planner, Smart Investor & The New Affluence book combo	$100.00	_____  X	$ 44.00 =

                                                                                                                                  TOTAL:__________

* We will send you the questionnaires for forwarding to your members. We take it from there.

SHIP TO:	BILL TO:
Company:_________________________________	Station:___________________________________
Contact:__________________________________	Attn: _____________________________________
Address:__________________________________	Address: __________________________________
City: _______________ State: _____ Zip:_______	City: ______________State: _____ Zip: ________
Telephone: _______________________________	Telephone:_________________________________

	Requester's Name:  _____________________________________
	Telephone: ____________________________________________  Purchase Order Number, if Any: ___________________________

SEMD ORDER TO:

John Annino Pondemonium Productions, Inc. One Gateway Center,  Suite 413              Fax:   617-243-0021 Newton, MAassachusetts  02458             Telephone:  617-243-0020