******This form must be printed out, filled out, signed and faxed or regular mailed to me if using a credit card for payment for your subscription.

DO NOT EMAIL THIS FORM TO ME WITH YOUR CREDIT CARD INFO.

TO:  Harriet's Creations, Inc.

       2974 Green Fairway Cove N.

       Collierville, Tn.  38017

       901-854-1104

BakeryBuddy.com Subscription Enrollment form

 

Date: ____________________

 

To Whom It May Concern:

 

By my signature and fax, I authorize Harriet Cobb of Harriet’s Creations, to charge my credit card for the amount of $125.00, on a one time basis.  This amount is credited to my BakeryBuddy.com subscription and allows me a one year subscription from this date of enrollment.

 

New Enrollment:   Yes    No  (Circle One)  Renewal:  Yes   No (Circle One)

 

Visa     MasterCard    (circle one)

 

Credit Card # _______________________Expiration Date_________

 

Last 3 digits on back of card___________

 

Name: ____________________________________(Please Print)

Address: __________________________________

City/State: __________________________, Zip code_______

Phone # ________________________

Billing Zip Code: same or ________

 

 

 

Signature  ________________________________________________                                                                 

 

Please return by fax to: 

Harriet’s Creations, Inc.

901-861-9581

Thank you for subscribing to BakeryBuddy.com!

I will call you to verify information so you will know your fax was received correctly, and to notify you of your activated account.

FAX-901-861-Thanks.Sincerely,