CWFI Membership/Subscription Form

Name:

__________________________

Address:

__________________________

__________________________

City:

__________________________

State/Province:

_________________

Zip/Postal Code:

_________________

Country:

_________________

Telephone:

(      ) _____________________

Fax:

__________________________

Email:

__________________________

Web Site:

__________________________

United States

  

Full membership:
(Includes subscription to Cross & Quill)

 ___$40 (1 year)   ___$75 (2 years)   ___$110 (3 years)

Cross & Quill subscription only:

 ___$20 (1 year)   ___$38 (2 years)   ___$56 (3 years)

Canada

  

Full membership:
(Includes subscription to Cross & Quill)

 ___$42 (1 year)   ___$80 (2 years)

Cross & Quill subscription only:

 ___$22 (1 year)   ___$40 (2 years)   ___$62 (3 years)

Outside North America

  

Full membership:
(Includes subscription to Cross & Quill)

 ___$45 (1 year)   ___$80 (2 years)

Cross & Quill subscription only:

 ___$25 (1 year)   ___$48 (2 years)

Credit Card #:

__________________________

Expiration Date:

__________________________

Name of Card Holder:

__________________________

Signiture:

__________________________

Mail Membership/Subscription Form to:

CWFI c/o Sandy Brooks
1624 Jefferson Davis Rd.
Clinton, SC 29325-6401