Fax or Mail Sign-up

Please PRINT and fill out this information:

You may register with Cubs Anonymous by FAX or MAIL

Include credit card number or

Send personal check or money order for:

Membership Kit $25.00
Shipping & Handling $ 4.00
Total $29.00

Illinois residents add $2.13 sales tax for a total of $31.13
Allow 2-3 weeks delivery.

Mail today to:

Cubs Anonymous
9333 Lavergne
Skokie, IL 60077

Cubs Anonymous fax number is: 847-674-2215

FULL NAME ________________________________________________

MAILING ADDRESS __________________________________________

CITY_______________________________ STATE_____ ZIP _________

PHONE NUMBER (with area code) ______________________________

CIRCLE PAYMENT METHOD: VISA MASTERCARD AMEX

CREDIT CARD NUMBER ______________________________________

CREDIT CARD EXPIRATION DATE ______________________________

NAME ON CREDIT CARD _____________________________________

Home 12 Steps Guest Book Links
 

Copyright 1997-2009 Cubs Anonymous. All rights reserved.
info@cubsanonymous.com