Please fill out the contract and application below. Simply fill out every indicated box with the required information and
click submit.  Your contract and application will automatically be emailed.  Incomplete applications will not be processed.  
We have added this feature for your convenience.   
PLEASE DO NOT SUBMIT A CONTRACT UNLESS YOU HAVE
MADE YOUR PAYMENT.  CONTRACTS WITHOUT PAYMENTS ARE NOT PROCESSED!
(Your Credit BOOKS; valued
over $55.00; will be emailed to you from our customer service team.)
CPN Headquarters' "$59.99 CPN" Personal Business Contract Agreement
This Agreement made and entered into this day;
By: Mr/Mrs.
And between www.cpnheadquarters.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.
**CPN QUESTIONNAIRE; THIS INFORMATION IS NEEDED TO ESTABLISH YOUR CPN.
 **TO ENSURE A FAST RETURN PLEASE SUBMIT A COMPLETE APPLICATION
Client's Full Name:

Client's Home Address:

City:

State:

Zip Code:

Type of Payment Made; paypal/credit card/ e-check:

Name & Email associated with payment:
**TO PREVENT MERGERS PLEASE PROVIDE A GOOD CPN ADDRESS.
Client's CPN Address:

City:

State:

Zip Code:

Client's Email:

Phone Number:
**YOUR SSN IS REQUIRED IN ORDER TO OBTAIN A VALIDATED CPN IN YOUR NAME.
Social Security Number:

Date of Birth:
Special Comments or Instructions
SIGNATURE AUTHORIZATION STATEMENT: BY SIGNING THIS CONTRACT YOU AGREE TO EVERYTHING HEREIN,
ABOVE AND TO THE CPN HEADQUARTERS DISCLAIMER
PLEASE READ THE BELOW AGREEMENT
The information provided within this contract is authorized by:
Contract Signature:

Full Name:

Authorization Date:
CPN Headquarters
"$59.99 CPN PLATINUM BUNDLE"
PERSONAL BUSINESS CONTRACT AGREEMENT
BY CLICKING 'SUBMIT' YOU AGREE TO THE TERMS OF THIS CONTRACT; WHICH WILL BE  EMAILED TO CPN
HEADQUARTERS IMMEDIATELY.
Please DO NOT submit a contract application until you have made your payment.  After you submit your payment you
will be automatically redirected to fill out your contract and application.  If you need to be directed to submit your
payment please click Pay Now.   After you submit your payment you will be automatically redirected to fill out your
contract and application.
DISCLAIMER