Print this form and use it to join Bethany's Woodshed via FAX

Name: __________________________

Address:_______________________________

Address: ______________________________

E-mail (Required): __________________________

Card number: ________________________

Expiration Date: ________ CVV2: _______

Card type (Visa and Mastercard): _____________

You may join any of our credit card options, including the combo options, by faxing in your credit card. Please review all the joining options on the main join pages, and indicate which plan you'd like here:

(example: I'd like the two month Combo for $29.95)

___________________________________________________________________________

Username: ______________ Password: ___________________
(Your username may be anything you like, but we cannot guarantee the availability of common usernames, ie. Tom . Your password should be at least eight characters long and should contain both upper and lowercase letters and at least one number.)

My card will be billed as ABCD Webmasters
I understand that these memberships will rebill automatically.

Signature: ___________________________

FAX TO: 413-669-1882