|
If you are interested in joining and don't wish to use PayPal,
simply print this page and send your check or money order to:
Clive Cussler Collector's Society
PO Box 5729
Pahrump, Nevada 89041
Unfortunately, due to high bank fees, we do not accept checks in
foreign currencies.
| Name |
________________________ |
|
|
| Address 1 |
________________________ |
|
|
| Address 2 |
________________________ |
|
|
| City |
________________________ |
State |
______ |
| Province |
________________________ |
Postal Code |
_______________ |
| Country |
________________________ |
|
|
| Phone |
________________________ |
E-mail |
________________________ |
| Do you wish your contact information
to be included on the Our Membership password protected page
on our Web site? (yes or no) |
______ |
cusslersociety@xpressdata.net
| 
