Instructions: Print this page, complete the form contents, FAX TO: 713-266-9306
A Customer Service Representative will contact you within 24 hours.
| Subscription Type: | _____ $395.00 Anual Subscription with Archive _____ $235.00 Anual Subscription _____ $160.00 Add News Archive to my current Premium News Subscription |
| Full Name: | ____________________________________________________________ |
| Company Name: | ____________________________________________________________ |
| Address 1: | ____________________________________________________________ |
| Address 2: | ____________________________________________________________ |
| City: | ____________________________________________________________ |
| State: | ____________________________________________________________ |
| Zip Code: | ____________________________________________________________ |
| Phone: | ____________________________________________________________ |
| Fax: | ____________________________________________________________ |
| E-Mail: | ____________________________________________________________ |
| Membership: | Are you currently a subscribed member to our website? YES / NO If NO, please provide a Username and Password below. |
| Username: __________________________________________________ | |
| Password: __________________________________________________ | |
| Payment Method: | _____ Visa _____ MasterCard _____ American Express |
| Credit Card Number: | ____________________________________________________________ |
| Exp. Date (MMYY): | ____________________________________________________________ |
| Name on Card: | ____________________________________________________________ |
| Signature: | ____________________________________________________________ |