Customer/Dealer Work Order

<BODY BGCOLOR="#000000" TEXT="#F7F7FF" LINK="#FFCC99" ALINK="#009D74" VLINK="#FF9966"> <div> <FONT SIZE="5" COLOR="#0000FF" FACE="Bradley Hand ITC" ><B>America's Family Entertainment, Inc.</B></FONT><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >    </FONT> |   <A HREF="index.htm" TARGET="_top" TITLE="Americas Family Entertainment, Inc."><U><B>home</B></U></A></div> <div> <A HREF="id35.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id36.htm" TARGET="_top" TITLE="News and Events"><U>News and Events</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id41.htm" TARGET="_top" TITLE="Locations"><U>Locations</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id37.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id38.htm" TARGET="_top" TITLE=" Products and Services"><U>  Products and Services</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id83.htm" TARGET="_top" TITLE="Promotions"><U>Promotions</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id59.htm" TARGET="_top" TITLE="SkyTracker® News"><U>SkyTracker® News</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id57.htm" TARGET="_top" TITLE="SkyTracker®"><U>SkyTracker®</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id47.htm" TARGET="_top" TITLE="Business Rules"><U>Business Rules</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id63.htm" TARGET="_top" TITLE="Company Prospectus"><U>Company Prospectus</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id98.htm" TARGET="_top" TITLE="_"><U>--Type Title Here--</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><B>Customer/Dealer Work Order</B><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id75.htm" TARGET="_top" TITLE="Dish Installation Checklist"><U>Dish Installation Checklist</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id72.htm" TARGET="_top" TITLE="Claim Form Approval"><U>Claim Form Approval</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id69.htm" TARGET="_top" TITLE="AFEXpress Satellite Internet"><U>AFEXpress - Satellite Internet</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id92.htm" TARGET="_top" TITLE="AFEXpress Approval Form"><U>AFEXpress Approval Form</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id93.htm" TARGET="_top" TITLE="AFEXpress Waiver"><U>AFEXpress Waiver</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id76.htm" TARGET="_top" TITLE="AFEXpress Checklist"><U>AFEXpress Checklist</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id70.htm" TARGET="_top" TITLE="Internet Agreement"><U>Internet Agreement</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id48.htm" TARGET="_top" TITLE="Dealer Agreements"><U>Dealer Agreements</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id60.htm" TARGET="_top" TITLE="Dealer Economics"><U>Dealer Economics</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id40.htm" TARGET="_top" TITLE="Becoming a Dealer"><U>Becoming a Dealer</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id62.htm" TARGET="_top" TITLE="Dealer Incentives"><U>Dealer Incentives</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id85.htm" TARGET="_top" TITLE="Coop Advertising"><U>Co-op Advertising</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id86.htm" TARGET="_top" TITLE="Coop Advertising PreApproval Form"><U>Co-op Advertising Pre-Approval Form</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id91.htm" TARGET="_top" TITLE="Advertising Disclaimers"><U>Advertising Disclaimers</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id68.htm" TARGET="_top" TITLE="Stockholder News"><U>Stockholder News</U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id39.htm" TARGET="_top" TITLE="FAQ (commissions) "><U>FAQ (commissions) </U></A><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >   |   </FONT><A HREF="id84.htm" TARGET="_top" TITLE="LP/GAS Magazine"><U>LP/GAS Magazine</U></A></div> <div> <IMG SRC="04658020.gif" border=0 width="600" height="2" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> Customer/Dealer Work Order</div> <div> <B><U>Plan Selections</U></B></div> <bR> <div> <B>1</B><B>.</B><B> </B><B> </B><FONT SIZE="2" COLOR="#FF0000" FACE="Arial" ><B>Digital 100 Plan</B></FONT><FONT SIZE="2" COLOR="#CC0033" FACE="Arial" ><B> </B></FONT><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> - $30.99  </B></FONT><B>                                                       2.  </B><FONT SIZE="2" COLOR="#FF0000" FACE="Arial" ><B>Digital 100 Home Plan</B></FONT><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> - $35.99</B></FONT></div> <div> <B>     </B>(Satellite TV System w/1 receiver)                                                              (Satellite TV system w/2 receivers)</div> <bR> <div> <B>3.  </B><FONT SIZE="2" COLOR="#FF0000" FACE="Arial" ><B>Digital 150 Plan </B></FONT><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B>- $39.99 </B></FONT><B>                                                          4.  </B><FONT SIZE="2" COLOR="#FF0000" FACE="Arial" ><B>Digital 150 Home Plan</B></FONT><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> - $44.99</B></FONT></div> <div> <B>      </B><B>(</B>Satellite TV System w/1 receiver)                                                              (Satellite TV System w/2 receivers)</div> <bR> <bR> <div> <B>A. </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B> HBO the Works/Starz</B></FONT><B> -  </B><B>$19.99/mo.</B><B>                                                    B.  </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B>Showtime Unlimited</B></FONT><B> - </B><B>$19.99/mo.</B></div> <div> <B>  C. </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B> HBO/Showtime</B></FONT><B> - </B><B>$21.99/mo. </B><B>                                                              D. </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B> HBO/Starz Super</B></FONT><B> -</B><B>$21.99/mo. </B></div> <div> <B>E.  </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B>Three Pak</B></FONT><B> - </B><B>$28.99/mo.</B><B>                                                                       F. </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B> All Four </B></FONT><B>- </B><B>$35.99/mo</B></div> <div> <B>G.  </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B>Fox Sports Pak</B></FONT><B> -</B><B>$  .  /mo.  </B><B>                                                                 H.  </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B>PlayBoy Channel</B></FONT><B> - </B><B>$  .  /mo.</B></div> <div> <B>I . </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B>Adult Entertainment Pak</B></FONT><B> - </B><B>$  .  /mo. </B><B>                                               J. </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B> America's Everything Pak</B></FONT><B> -</B><B> $69.99/mo.</B></div> <div> <B>                                                                                                                             (plus $5.00 per receiver)</B></div> <div> <B>K.  </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B>National PBS</B></FONT><B> -</B><B>$1.00/mo.  </B><B> </B><B>                                                                  L.  </B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B>Local Channels</B></FONT><B> - </B><B>$4.99/mo. </B></div> <div> <B>M.</B><FONT SIZE="1" COLOR="#0099FF" FACE="Arial" ><B> Distance Channels</B></FONT><B> - </B><B>$4.99/mo</B><B>.</B></div> <bR> <div> <B><U>Your Plan Selection is entered into the given field.  Here is an example of how to enter it...</U></B></div> <div> <B><U>(ex. If you want Plan # 3 w/ other packages you would enter info as...  3, G, L)</U></B></div> <div> <B><U>that would say that you would like  Digital 150 Plan, with the  Fox Sports Pak and Local channels.</U></B></div> <div> <B><U>(</U></B><FONT SIZE="2" COLOR="#0000FF" FACE="Arial" ><B><U>PLEASE seperate everything with commas</U></B></FONT><B><U>)</U></B></div> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="First Name/Dealer name ,Last Name/Dealer #,Email,Address1,City,State,Zip,Phone,Fax/Work,Other,Package,Directions/Instructions,Credit Card #,Ex. date"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you "><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="AFEIncorp@aol.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name/Dealer Name :<br> <input type="text" name="First Name/Dealer name " size="40" maxlength="150"></td> </tr> <tr> <td align="left">Last Name/Dealer #:<br> <input type="text" name="Last Name/Dealer #" size="40" maxlength="150"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address:<br> <input type="text" name="Address1" size="40" maxlength="150"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="40" maxlength="150"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax/Work #:<br> <input type="text" name="Fax/Work" size="14" maxlength="14"></td> </tr> <tr> <td> <input type="checkbox" name="Other" value="yes"> Add to mailing list</td> </tr> <tr> <td align="left">Plan Selection( enter #(s) from above):<br> <input type="text" name="Package" size="40" maxlength="150"></td> </tr> <tr> <td align="left">Directions/Instructions:<br> <textarea name="Directions/Instructions" rows="5" cols="40"></textarea></td> </tr> <tr> <td align="left">Credit Card #:<br> <input type="text" name="Credit Card #" size="40" maxlength="150"></td> </tr> <tr> <td align="left">Expiration Date:<br> <input type="text" name="Ex. date" size="30" maxlength="100"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <div> <B><U>Additional Interests Form</U></B></div> <bR> <div> <B><U>T</U></B><B><U>his form  is about services  that we will soon carry.  If you are interested, please answer yes or no to those that apply and send the form, and we will get information to you immediately.</U></B></div> <bR> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Dealers Name,Dealer #,First Name,LastName,Email,Address,Zip,Phone,Fax,Internet,Cell Phone,Radio,SkyTracker® Liquid Level Gauges (Propane),MailingList"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="AFEIncorp@aol.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Dealer Name:<br> <input type="text" name="Dealers Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Dealer I.D. #:<br> <input type="text" name="Dealer #" size="30" maxlength="100"></td> </tr> <tr> <td align="left">First Name:<br> <input type="text" name="First Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address:<br> <textarea name="Address" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Satellite Internet Connectivity:<br> <input type="text" name="Internet" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Cellular phone configuration:<br> <input type="text" name="Cell Phone" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Satellite Radio Programing:<br> <input type="text" name="Radio" size="10" maxlength="10"></td> </tr> <tr> <td align="left">SkyTracker® Liquid Level Gauges (Propane):<br> <input type="text" name="SkyTracker® Liquid Level Gauges (Propane)" size="10" maxlength="10"></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> </BODY>