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Join by Mail or
Fax
To subscribe to
Contact Any Celebrity by mail or fax, please print and complete this
subscription form. Mail it along with your credit card information,
check or money order for the subscription amount (see below), or fax
it to us anytime with your credit card information. Please make your
check or money order payable to Contact Any Celebrity.
We'll send you a
confirmation email with your login information within 24-48 hours of
receiving your order, and you'll be able to login to the private Member Lounge of
www.ContactAnyCelebrity.com immediately.
First Name:
_______________________________________ Last Name:
_____________________________________
Company:
________________________________________________________________________________________
Address:
_________________________________________________________________________________________
City:
____________________________________________ State: ______________
Zip: _______________________
Country:
_________________________________________ Phone:
_________________________________________
Email:
___________________________________________________________________________________________
Signature:
________________________________________________________________________________________
Choose a username and
password to access the database:
Username:
________________________________________ Password:______________________________________
Include payment in
U.S. funds drawn on a U.S. bank for the subscription amount you
choose below:
*
NOTE: We cannot accept the $1 trial by mail -- only if you join
online with your credit card or checking account.
___________ Months at
$29.97 each or _____________ Annual subscription at $297 (Best
Value - Includes 2 Free Months!)
$__________
TOTAL ENCLOSED (US Funds Only)
PAYMENT METHOD:
[ ] Check/Money Order
(Make payable to Contact Any Celebrity)
[ ] Visa [ ] MasterCard [ ] American Express [ ] Discover
Name on Card:
____________________________________________________________________________________
Credit Card #:
_______________________________________ Expiration Date:
_______________________________
Credit Card Billing
Address (if different from above):
_________________________________________________________________________________________________
Signature:
__________________________________________ CVV2 #:
________________________ (See Below)
The CVV2# is the last 3 digits printed on the back of your card on
the right side of the signature strip.
For American Express cards it is the 4 digits printed alone on the
right side of the card.
Mail this
form along with your payment to:
Contact Any Celebrity, 8721 Santa Monica Blvd. #431, W. Hollywood, CA 90069-4507
Or Fax:
310-362-8771 (24-hours) |
