DeDe Lind
Membership Registration
Check, Cashier Check or Money Order Form

Print and fill out this form

Send with check, cashier check or money order payable to:

Diane Lind

P.O. Box 1712 

Boca Raton, Florida 33429


Step 1 - Membership Type
Monthly 19.95
3 Month 49.95
6 Month 75.95
Annual 99.95
 Type of Membership



 Amount Enclosed  (U.S. Dollars Only)
 (Check here - required)  Yes, I have read and agree to the Terms and Conditions.                                

Step 2 - Member Login

Enter
the userID and password of your choice.
You will receive a membership number via email.
You will need to enter your membership number along with
your requested userID and password to access the Members Only section.


Use combination of numbers and letters only.  
(No spaces or special characters)
UserID and password are case sensitive.   If you mix upper and lower case, that
is the way you will have to sign in.
Example:   Num1fan is not the same as num1fan


User ID - Maximum 10 characters

Password - Maximum 10 characters


Step 3 - Member Information
           (You must enter your email so we can send you your membership number)

Email          

Name          

Address       

              	

City           

State          

Zip Code       

Country       

Country Code  

Home Phone    

Birthday      

	      Comments or Special Instructions