The Official Crystal Chappell Fan Club Printable Application FEES Annual membership fees are $32.00 for U.S. members and $35.00 (due to extra postage) for international members. Please print and send your application with a check or money order (U.S. funds only) payable to CC and Friends. SEND FORM & PAYMENT TO: CC and Friends c/o Sasha Mote P.O. Box 60337 Houston, TX 77205 MAKE CHECKS PAYABLE TO "CC and Friends" CHECKS NOT MADE OUT TO CC and Friends WILL BE RETURNED! First Name: _________________________________________________________ Last Name: __________________________________________________________ Street Address: ______________________________________________________ ____________________________________________________________________ City: ________________________ State: ___________ Zip: ________________ Country: ______________________________________________________ Phone Number: (___________) _____________ - ____________________________ E-mail Address: ___________________ @ ___________________________________ CC and Friends Board Screenname (required for access to newsletter): ________________________________________________________________________ Twitter Account Name (optional):________________________________________ Birthday (month & day required to receive bday card from Crystal): ________________________________________________________________________ Is this a membership renewal or 1st time subscription? _________________ How did you learn about CC and Friends? _________________________________________ __________________________________________________________________________ DO NOT FORGET TO ENCLOSE PAYMENT. FORMS WITHOUT A CHECK OR MONEY ORDER CANNOT BE PROCESSED AND WILL BE RETURNED TO YOU. After sending in your application, please allow 6-8 weeks for the delivery of your membership packet. << Return to the Crystal Chappell Web Site <<