MDHDesigns... Mail Order Form

6815 Forbing Road, #38

Little Rock, AR 72209

Phone: 501.353.0486

marianne@mdhdesigns.net

Please be sure to fill out this form completely and mail^* this form along with a check or United States Postal Service money order to the address below. I actually prefer a money order payment. I think the cost to purchase a money order right now is $.90 and there are thousands of USPS locations throughout the US.

Contact me via e-mail (marianne@mdhdesigns.net) right away, so I know your payment is on its way and to keep an eye out for it. I will send you a confirmation letter once I receive your payment, letting you know that I have received your payment. You will not receive your username and password until the check or money order has cleared my bank account.

Membership Subscriptions	Price
Lifetime Membership Subscription	$	50.00

Your Information
Please Print
Name:
	(First)	(Last)

E-mail Address:
	(This is a MUST, since you will be receiving your username/password combination to this address)

Login Preferred:
	(username)	(password)
	(each must contain at least 8 alpha/numeric characters and NO symbols)

Payment Information

Please make your check or money order payable to:	Marianne Hartsfield
Please send your payment to the address below:
	Marianne Hartsfield MDHDesigns... 6815 Forbing Road, #38 Little Rock, Arkansas 72209