Participation Will Give You Access To Many Of The Best Opportunity Placements In The Industry!



To have the best possible chance of claiming a position in the Golden Gateway System, you must quickly fill out and submit this application form. Please note that because space is strictly limited to 25 participants, you may not get into the group we’re currently forming. If you don’t reply quickly enough to claim a position, you will be notified and placed on a waiting list for the next availability in the order that your form was submitted. Thank you for your interest and good luck on claiming your position.

All listed prices are in US Dollars ($ USD).

(All fields marked with an ( * ) are required)

Customer Billing Information
(as on your credit card statement)

First Name: A value is required.*
Last Name: A value is required.*
Address: A value is required.*
City: A value is required.*
State / Province: A value is required.*
  Please use standard POSTAL notation for your state/province - CA, TX, QC, AB and so forth.
Zip / Postal Code: A value is required.*
Country: Please select an item.*
Email: A value is required.*
An Email Address is required in order to receive your Teleseminar Tracking Code and related Instructions.
Best Contact Phone #: A value is required.*
  Please enter a phone number only, not a time of day.

Group Level Selection *

One Group Position -- $757


3- and 5-position bonus:
Complete List Acquisition
LEVERAGE 24 Other People's
Money to Develop a Powerful
Customer Database

This is made available 2 months after
the last ad placement has run.

Three Group Positions -- $1917
(a $354 savings!)
Five Group Positions -- $3028
(buy 4, get the 5th for free!)

ILS Info

ILS Default Marketing URL

In order to configure the system to work properly for you, we will need you to provide us with your ILS LIVE Default Marketing URL in the space below. To locate this information, please log in to your ILS Live back-office and look at the top of the page. You will find an illustration at right showing you where this will appear. Hover your mouse over the image to see a larger view.

CLICK HERE to access your ILS Account now.

ILS Default Marketing URL: A value is required.*


Payment Type *

Credit Card
Check -- Direct Debit (by EFT) (FAX or Mail - requires inclusion of a voided check)

Credit Orders Only:

You do not need to enter anything here if you are ordering by check. If you are ordering by Credit/Debit card, then all 3 fields are required to have an entry. HINT: for card expiration, months less than 10 will need a 0 on the front... 01, 02, 03, etc.

NOTE: All orders are final due to work incured to fulfill your order.

Credit Card Number: * cards accepted
Card Expiration Date: Minimum number of characters not met.Exceeded maximum number of characters. (mmYY, mm/YY or mm-YY allowed) *
Card Security Code: *

Credit Card Security Codes

Above are pictures that will help you in locating the
Card Security Code number on your credit card.
Hover your mouse over the image to enlarge the view.



If you're having any trouble placing your order online, please remember that you can phone your order in by calling:
(239) 682-9970, between the hours of 9 AM and 5 PM Eastern Time, Monday through Friday.

We look forward to working with you to help build your Numis team!