******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,