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MEMBERSHIP RECEIPT FOR AWEFILMS MEMBERS GALLERY
(Please fill out this form and mail it to: Awefilms, P.O. Box 369, Rifton, NY 12471)
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| Full Name: ______________________________________________________________ |
| ADDRESS: _______________________________________________________________ |
| ________________________________________________________________________ |
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| Select Payment Method (US funds only). Make payable to 'Awefilms, Inc.': |
| Cash ______ Check ________ (US Members only) Money Order ________ |
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| 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 |
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| Please select a Username and Password (select only up to 10 digits for each and PLEASE write clearly). |
| Username: _______________________________________ |
| Password: _______________________________________ |
| E-Mail address: ________________________________________________ |
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(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.
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| You will NOT be contacted at your mailing address or e-mailed for any other reason except to confirm membership). |
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For questions about membership please contact us at
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Your username and password will be cancelled after your membership has expired if you do not renew.
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