If you would like to join as an Associate Member and Sponsor, please print the Preliminary Application below, fill in, and mail with your desired down payment (cash, check or money order.)

(If you have any questions, please call (212) 873-9277.)

PRELIMINARY APPLICATION

To: Growth Network, 945 West End Avenue, New York, NY 10025

Please enroll me as an Associate Member and Sponsor. Enclosed is _________ (minimum $10 in cash, check, or money order). I will receive by mail full details on how the Growth Network works, an Application to become Registered, and a 10-minute audiotape. If I decide not to become a register and send back all material received in good condition within 30 days, I will be refunded my full down payment. I will choose my membership and sponsorship status after I receive the full details.

(Please print)

Name:	_____________________________________	Tel:	_________________
Address:	_____________________________________
	_____________________________________
	_____________________________________
I wish to be a:	Member ___ Sponsor ___ Member and Sponsor ___
My Sponsor is:	_____________________________________	Tel:	_________________
My Sponsor’s number is:	_____________________________________

My Sponsor's number is:

________________