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Membership request from
Mail to:  AuthorsDen.com  PO Box 171  Ramona, CA 92065  Phone: 619-270-1212		Order Number:
Method of Payment
Check Make Check or Money Order payable to: "AuthorsDen.com" Credit Card Type: Mastercard Visa AMEX Discover Credit Card Number: _______________________________ Exp. Date: ___/______ Billing Address: _________________________________________ _________________________________________ Telephones: Daytime: (____) ___________________ Evening: (____) ___________________
Annual Membership Plans
Description   1-Year (Credit Card or Checks) Annual Bronze Membership Plan   $  75.00 Annual Gold Membership Plan   $ 150.00 Annual Platinum Membership Plan   $ 800.00 Total: $________

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