Mail To:
Delicate Fade, Inc.
Attn: Subscription Department
1404 Summer Ridge Ct.
Roanoke, TX 76262



Subscription Sign-Up Mail Form


To sign up for a Delicatefade.com subscription, simply print out this form, fill out the form manually, and mail it along with your payment (cash, check, or credit card number, signature and expiration date) to the address above.  Allow up to two weeks for the setup of your new subscription.
Make payments out to Delicate Fade, Inc.

IMPORTANT
Make sure that every field of the form is filled out. If any fields are missed it will delay the setup process.


Name (first name, last name): _______________________________________________________________


Address: __________________________________________________________________________________


City: _____________________________________ State: ______________ Zip Code: __________________


Phone Number: ____________________________________________________________________________


Email Address: ____________________________________________________________________________


Desired Password: _________________________________________________________________________


SELECT ONLY ONE OPTION BELOW FOR THE SUBSCRIPTION LENGTH BEFORE PRINTING

Subscription Service:   Premium Service or  Standard Service

Premium Monthly ($10.00) or  Standard Monthly ($7.00)
Premium Three Months ($20.00) or  Standard Three Months ($15.00)
Premium Six Months ($35.00) or  Standard Six Months ($25.00)
Premium One Year ($50.00) or  Standard One Year ($40.00)

Automatically Renew My Subscription Do Not Automatically Renew My Subscription


Credit Card Information:


Credit Card Number: ______________________________________ Expiration Date: _____________________


Checking Account Information:


Bank Routing Number: ____________________________ Bank Account Number: ____________________________


Bank Name: ___________________________________ Bank Account Type (circle one):   Checking   or   Savings


Signature: _______________________________________________________________________


Thank You for signing up for our Subscription Services. We will notify you via email when you are setup.