MEMBERSHIP RECEIPT FOR AWEFILMS MEMBERS GALLERY
(Please fill out this form and mail it to: Awefilms,
P.O. Box 369, Rifton, NY 12471
Full Name: _____________________________________________________________
ADDRESS: _____________________________________________________________
_______________________________________________________________________
Select Payment Method (US funds only). Make payable to 'Awefilms, Inc.':
Cash ______ Check ________ (US Members only) Money Order ________
BASIC MEMBERSHIP:
______ 1 Month $19.95 _____
3 Months $49.95
______ 6 months: $99.95
PREMIUM MEMBERSHIP: ______ 1 Month $29.95 3
Months _______ $79.85
6 Months _____ $159.70
ENTER CODE (MEMBERSHIP SPECIALS ONLY): ____________
Please select a username and password (select 8-11
characters for each
and PLEASE write clearly).
Username: _______________________________________
Password: _______________________________________
E-Mail address: ________________________________________________
(You MUST have a WORKING e-mail address so that we
can confirm receipt of this form and your membership status. If your
e-mail address is illegible or if we cannot contact you through the e-mail address you
provided, your payment will be returned to you.
You will NOT be contacted at your mailing address or e-mailed for any other reason except
to confirm membership).