Print this form and use it to join via Mail

Name: __________________________

E-mail (Required): __________________________

I am paying by:

_____ Personal check
_____ Money Order

Options by Mail:

One year of Bethany's Woodshed - $109.95 _________
Six months of Bethany's Woodshed - $79.95 __________
Three months of Bethany's Woodshed - $49.95 __________

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.)

I am over 18 years of age.

Signature: ___________________________



977 Seminole #233
Charlottesville, VA 22901