The Squirrel Lover's ClubTM

Mail In Membership Application Form

If you prefer to pay for membership via check or money order, please print this page, fill it out, and mail it in with your payment to:

The Squirrel Lover's Club

318 W. Fremont Avenue

Elmhurst, IL 60126

The annual membership fee is $28 in the U.S. and $31 outside the U.S.
Three year membership fee is $69 in the U.S and $78 outside the U.S.
Make checks payable, in U.S. funds to Squirrelly Productions.

--------------------------------------------------------------------------------------------------------------------
First Name:_____________________ Middle Initial:_______

Last Name:____________________________________

Address:___________________________________________

City:_________________________ State:_______ Zip:_______

Country:____________________

Phone Number (including area code):_____________________________(Required)*

Email Address:______________________________

Amount of Payment:____________

How Did You Hear About Our Web Site?:_____________________________

Credit card Number:  __  __  __  __ - __  __  __  __ - __  __  __  __ - __  __  __  __

Expiration Date:  ____/____/____

Signature:__________________________________________________
 
 

*We do not sell or give out phone numbers.








©1996-2008 Copyright Squirrelly Productions.™ All Rights Reserved.


HOMEBACK