ELECTRONIC FIREBALL APPLICATION FORM

*Sales Packet necessary to start business is provided at no cost.

Fill in this Application Submit to "Fireball Computing Services" or Print out form and mail with check form'' or fax both pages to 317-290-9663 or mail Money Order/Cashier’s Check to Fireball Computing Services - 8629 Fawn Lake Circle, Indianapolis, IN 46278.

Original application MUST be mailed to FireBall Computing Services**

SS Number or Business EIN

First Name

Middle Initial

Last Name

Address (No P.O.Boxes)

City

State

Zip

Daytime Phone #

Night Phoner #

Fax Number #

E-mail Address

Enrollment Purchase Options

FireBall Program $350.00

FireBall Multimedia Disk Customization * $99.00

Shipping and handling $5.00

TOTAL

Choose your bonus program Options (see the Bonus Program Description Sheet below)

** Original application must be mailed FIREBALL 300 1. 2. 3. 4.

Enrollment Purchase Options______________________________________________________________

A PARTICIPANT IN THIS NETWORK MARKETING PLAN HAS A RIGHT TO CANCEL AT ANY TIME, REGARDLESS OF REASON IN ACCORDANCE WITH THE TERMS AND CONDITIONS. CANCELLATION MUST BE SUBMITTED IN WRITING TO THE COMPANY AT ITS PRINCIPAL BUSINESS ADDRESS:

FIREBALL COMPUTING SERVICES, 8629 Fawn Lake Circle, Indianapolis, IN 46278

Sponsor Information

SS Number or Business EIN

First Name

Initial

Last Name

Daytime Phone #

Night Phone #

Fax Number #

E-mail Address

I authorize Fireball Computing Services to deduct, upon completion of a matrix commission cycle, $350, for the upgrade to my Fireball web site, (optional). I may cancel this authorization at any time by written notice to Fireball Computing Services, and will do so if I am unable to comply with the product resale/distribution rule set forth in paragraph 5 of the Terms & Conditions of this Agreement. Please use $350 of my FireBall Commissions to enter me into the FireBall 300 program.

Your Printed signature below indicates that you have carefully read the Terms and Conditions below and that you willingly accept all the terms and conditions therein and your sponsor has informed you that no fee or purchase is required to become a Fireball Computing Services Independent Associate.

Electronic Printed Signature

Date

FIREBALL ELECTRONIC CHECK FORM

Please use Electronic Check Form for payment.

ALL INFORMATION MUST BE COMPLETED.

Name Fractions # Date

Pay to the Order of ------------- Fireball Computing Services--------------- $

Amount Dollars

Your Banks Name Address,City,St,Zip

Bank Routing # Account # Check #

PRINT OUT THIS FORM WITH APPLICATION IF BEING MAILED OR FAXED

Please Input the following information as it appears on your check above since some decorative checks do not FAX legibly.

This information is not required if you are submitting electronically ..

Your Name as it appears on your check.
Your Address, City, State, Zip.
Your Bank’s Name, Address, City, State, Zip.
Account # Routing # Fraction # Check # Amount $
Authorized Signature Date

Tape: Your check to bottom of form. FAX check & forms to 317-290-9663

FIREBALL Bonus Program Options

FIREBALL 300 Options

Earned every time your 3x2 matrix completes

OPTION 1 - COMPUTER FIRST BONUS PLUS 50 WEB SITE TO SELL

OPTION 2 - CASH FIRST BONUS PLUS 50 WEB SITE TO SELL

OPTION 3 - COMPUTER AND OUT..

OPTION 4 - CASH BONUS AND OUT..

$1,500 one-time Bonus Check.

FIREBALL TERMS AND CONDITIONS