Please fill in the appropriate information, print form, and enclose $20 ($25 foreign) for a one year membership to the
Fairy Lamp Club & NewsletterMake check payable to: James L. Sapp
Mail to: Jim Sapp
P.O. Box 438
Pine, CO 80470-0438
Name
Address . . . Phone Fax The following information may be included in the Fairy Lamp Club Directory. The membership directory will only be distributed to the Fairy Lamp Club members and will not be used for any other purpose or promotion.
Same as above. Do not include me in the membership listing.
Name
Address . . . Phone Fax
I accept
on-line credit card payment.