WESTERN MATCH.COM P.O. Box 677 Cave Creek, AZ 85327-0677 MONEY ORDER POSTAL FORM
Your Name: ____________________________________ (Please print clearly) Your Email Address: _____________________________ Your Address: __________________________________ City, State & Zip code ____________________________ Your Username: _________________________________	Membership Amount: (Please place a check mark next to the membership amount you are sending.) ____ $14.95 One Month Membership ____ $19.95 Three Month Membership ____ $28.95 Six Month Membership ____ $39.95 One Year Membership
Thank you. We will upgrade your membership as soon as we recieve your money order.
Please fill out the form completely. To Print: Select "file" at the top of your computer screen. Next select "print". Select the printer from the drop menu and click "print or ok". SEND THIS FORM WITH THE MONEY ORDER, SO WE CAN CREDIT YOUR ACCOUNT.