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General Membership Form

MEMBERSHIP TERM: (Rates are in U.S. currency)
    U.S. Canada/Mexico International
1 year (12 months) $9.99 $9.99 $9.99
Order total: U.S.$

BILLING ADDRESS:
*indicates required fields.
*First Name:
*Last Name:
Company:
*Mailing Address:
Suite/Apt./Unit:
*City:
*Country:
*State/Province: (US/Canada)
*Zip/Postal Code:
Phone:
Fax:
*E-mail:



MEMBERSHIP INFORMATION:
Same as Billing Information
*indicates required fields.
*First Name:
*Last Name:
Company:
*Mailing Address:
Suite/Apt./Unit:
*City:
*Country:
*State/Province: (US/Canada)
*Zip/Postal Code:
Phone:
Fax:
*E-mail:
  
I would like to receive the RT Book Reviews e-mail newsletter with news and previews of what's in the RT VIP Salon.

PAYMENT METHOD:  amex.gif mastercard.gif visa.gif  discover.gif 
secure This site is secure for all credit/debit card transactions.
I would like to receive all the automatic renewal features described below.
Credit Card:
Name on Card:
Card Number: ID #:   help
Expiration:   
RT VIP SALON'S No-Risk Automatic Renewal Program:
If you choose this option, you authorize RT BOOK REVIEWS to charge your credit/debit card at the price above now and in time to renew your RT BOOK REVIEWS VIP Salon membership, without interruption, before the start of each new annual term at the guaranteed low rate then in effect unless you tell us to stop. You may cancel at any time during your membership by contacting customer service. If your credit/debit card cannot be charged, you will receive an email to update our files with your new credit card information.


TO PAY BY CHECK OR MONEY ORDER :
Include your name, address, phone number and email address with
your order and send $9.99 (US Funds Only) to:

RT VIP SALON/ Membership
P.O. Box 3000
Denville, NJ 07834

EMAIL IS REQUIRED IN ORDER TO PROCESS THE ORDER.
(Order will be returned if a valid email address is not provided)