Total Start-Up Membership Fee Includes: Total Start-Up - Payable with Credit Card or Fax Check - $499.00 Optional Continued Monthly Access - automatic debit per month - $25.00 |
To mail your payment print this form and mail it to:
To fax in your payment print this form and fax it to: |
Credit Card #: ___________________________________
Exp: Month____ Year____ Security Code_____
Signature: ______________________________
How did you hear about us? _____________________________________________
Contact Person: