Subscription Application Form


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MembershipSiteOwner.com Secure Subscription Form

We respect your privacy. The personal information requested below is for use in processing your credit card, which is done with secure encryption. We never reveal, share, or sell member information. For complete details see our Privacy Statement.

We take Visa/MC/Amex/Discover or Paypal. Paying via Paypal charges you immediately however. There is no 21 day trial with that option. If you prefer to pay via Paypal, then click this button:

If you wish to pay via credit card, then fill out this form:

Customer Information

* = Required - Must match credit card billing address!

First Name [ required ]
Last Name [ required ]
Company
Address Line 1[ required ]
Address Line 2
City [ required ]
State [ US & Canada ]
State/Province [ All other Countries ]
Zip/Postal Code [ required ]
Country [ required ]
Your E-mail Address [ required ]
Phone or Fax Number [ required ]

Subscription Options

Subscription Plan: Credit Card Processing	Limited Time - $1 Trial Offer We remove any of the risk by offering you a $1 21 day trial! You get full access to try out the site for 21 full days. If you cancel prior you won't be billed any further. That's as fair a deal as you can get. Come on in and learn the tactics of other successful membership site owners. $1 trial for 21 days! Try us out for 21 days for only $1. Full access to everything because we WANT you to see the value in the site. If you decide to stay on then it is only $19.95 every month. Cancel anytime. $1 trial which converts to 1 Year ($187.00) - You save over $50 over the month to month plan. ~~$97 Joining Fee and $29.95 monthly recurring~~ - Not in effect yet. Sign up now to lock in the current low rate. Note: trial offer valid for new members only. Others will get billed at the recurring rate sooner.

Choose LOGIN Name [ required ]

Choose PASSWORD [ required ]at least six characters long, using alphas and numbers, no spaces.

Confirm PASSWORD [ required ]

Payment Information

Payment Method [ required ]	Prefer to pay via Paypal?
Credit Card Number [ required ]
Credit Card Security Code [ required on (MC/Visa/AMEX) ? ]
Expiration Date [ required ]	/
Name on Credit Card [ required ]
Is this a Renewal?
Do you wish to receive email alerts?


NOTE: It can take up to a minute to process the credit card information and obtain approval. Please do not press the submit button multiple times - doing so could cause double billing.
For the protection and privacy of our visitors and customers, as well as the security of the server, suspicious activities on our site are monitored, tracked and reported. NOTE: The free trial period only applies to new members only. Existing or previous members of this site will be immediately billed at the price indicated.

Credit Card Processing

Yes we take Paypal. Paying via Paypal charges you immediately however. There is no 21 day trial with that option. If you prefer to pay via Paypal, then click this button:

...otherwise enter your credit card information above.