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.