Complete this form, print out and fax or mail with payment.
Membership Options:
1 month @ $4.95
3 months @ $12.95
6 months @ $19.95
Special Offer! 1 year with free autographed photo @ $29.95 - BEST VALUE!!!
A savings of $149.45
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Check one: Fax | Postal Mail
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I agree to the terms and conditions listed on the web-site. www.midajah.com/account/options.htm
FAX Customers: Complete, print out and fax this form to: (805) 499-4486
Postal Mail Customers: Send a check or money order along with this completed form to:
FPWN.Com - Midajah membership PO Box 902 Newbury Park, CA 91320
Please make payments payable to: FPWN
If paying by check or money order, to ensure that your membership does not get cancelled, make sure that we receive your payment 5 days prior to your membership expiration date.