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If you don't have a credit card, you may join the ArtemisPress e-Reader Club with a personal check or money order through snail mail. (U.S. funds only.) You may also use this form
if you are not comfortable providing credit card information over the internet.
Simply print out this order form, then select your membership term and payment method. If using a personal check or money order, simply enclose your payment and mail it to our address
below. If using your credit card offline, enter your billing information. You may either fax or mail your completed registration form if paying with a credit card. In either case, please
be sure to include your email address so we may send your registration information.
Order Information
Fax: Print this form and fax it with your credit card information to (866) 216-7333.
Mail: Print this form, enclose your check and send it to:
ArtemisPress,
a division of SRS Internet Publishing
236 West Portal Avenue, #525, San Francisco, CA 94127.
Please make checks payable to SRS Internet Publishing.
Please select your membership plan!
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[ ] One Year: $ 23
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[ ] Two Years: $ 37
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Email Address: ______________________________________
[ ] My personal check is enclosed.
[ ] Please charge my credit card.
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Credit Card
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________________________________________
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Name on Card
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________________________________________
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Card Number
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________________________________________
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Expiration Date
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_________________ CCV:________________
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Signature
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________________________________________
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Billing Address: (The address at which you receive your credit card statements.)
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Name:
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________________________________________
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Address:
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________________________________________
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Address:
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________________________________________
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City:
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__________________________________
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State:
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________________ Zip: ____________
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The CCV number is the last three digits that appear on the back
of your credit card.
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