Club Application Form

Miss Martha's blog

Craft division of MMO

AGC Club Application Form

Please print this page and complete the information requested.
Enclose payment of $20 (U.S. residents) or $35 (non-residents).
Please pay in U.S. Funds.

Mail to: ALL GOD'S CHILDREN Collectors' Club
P.O. Box 5038
Glencoe, AL 35905
- OR -
Fax to: (256) 492-0261

New member

Renewal / membership # _________________

Member Name ______________________________________________

Address ___________________________________________

City _________________________ State ______ Zip _______________

Daytime phone number (_______)__________________

For gift membership, phone number of donor

Check / money order

VISA

MasterCard

For credit cards: Expiration date __________________

Card number (16 digit) __________________________________

Cardholder's Name ____________________________________

Signature ____________________________________________

Please send any questions about the Collectors' Club to AGCclub@missmarthaoriginals.com.