Please print and mail to:
LT Memberships
2700 Rose Avenue
Suite O
Signal Hill CA 90755
| Standard
Monthly Membership $25.00 for thirty (30) days |
__________
Months x $25.00 |
|
| Mail
Order Special!! Six (6) Month Membership $100.00 for one hundred eighty (180) days (like getting 2 months free!) |
||
| Mail
Order Special!! One (1) Year Membership $175.00 for three hundred sixty five (365) days (like getting 5 months free!) |
||
Number of
Months of Membership: __________
Total Amount Enclosed: __________
| Username: | Password: |
Customer Information
First Name:
Last Name:
Address:
Address (cont.):
City/Town:
State/Province:
Zip/Postal
Code:
Country:
Email:
Birthdate:
Please
make all MONEY ORDERS or CERTIFIED CHECKS payable to Linda Tran.
Note: NO personal checks
accepted. Payment must be made in U.S. funds drawn on a U.S. bank. Send cash
at your own risk.
Please sign and date below to certify that you are at least eighteen (18) years of age.
Signature: ______________________________________ Date: ___________________