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Digital Club >> Membership Application Form DIGITAL CLUB MEMBERSHIP ( ) YES, I want to join the Märklin Digital Club for one year: ( ) $12.00 (U.S. & Canada) ( ) $20.00 (International) ( ) $8.00 (E-mail subscription all countries) ( ) YES, I want to join the Märklin Digital Club for two years: ( ) $24.00 (U.S. & Canada) ( ) $40.00 (International) ( ) $16.00 (E-mail subscription all countries)
SENIOR CITIZEN DISCOUNT TOTAL AMOUNT DUE $__________________(U.S. funds only)
( ) Check ( ) VISA ( ) MasterCard ( ) Money Order Credit Card Acct. # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp. Date __ __ / __ __ Signature__________________________________________ Name_______________________________________ Address______________________________________ City________________________State (Country)_______________ Zip or Postal Code________________ Phone No._____________________________ E-Mail Address____________________________ Mail to: Märklin ClubOR, if paying by credit card, you may FAX this form to (262) 784-1095 |
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