Join by Mail or Fax

To subscribe to Contact Any Celebrity by mail or fax, please print and complete this subscription form.

Mail it along with your credit card information, check or money order for the subscription amount, or
fax it to us anytime with your credit card information.

Please make your check or money order payable to Contact Any Celebrity.

We'll send you a confirmation email with your login information within 24-48 hours of receiving your order, and you'll be able to login to the Contact Any Celebrity Private Member Lounge at that time.

First Name: __________________________________ Last Name: ________________________________

Company: ______________________________________________________________________________

Address: _______________________________________________________________________________

City: _______________________________________ State: ______________ Zip: __________________

Country: ____________________________________ Phone: ____________________________________

Email: _________________________________________________________________________________

Signature: _____________________________________________________________________________

Choose a username and password to access the database:

Username: ________________________________________ Password:____________________________

Include payment in U.S. funds drawn on a U.S. bank for the subscription amount you choose below:

* NOTE: We cannot accept the $1 trial by mail -- only if you join online with your credit card or checking account.

________ Months at $29.97 each or __________ Annual subscription at $297 (Includes 2 Free Months!)

$_______ TOTAL ENCLOSED (US Funds Only)

PAYMENT METHOD:

[ ] Check/Money Order (Make payable to Contact Any Celebrity)

[ ] Visa [ ] MasterCard [ ] American Express [ ] Discover

Name on Card: __________________________________________________________________________

Credit Card #: _______________________________________ Expiration Date: _____________________

Credit Card Billing Address (if different from above):

_______________________________________________________________________________________

Signature: __________________________________________ CVV2 #: ___________________  (See Below)

The CVV2# is the last 3 digits printed on the back of your card on the right side of the signature strip.
For American Express cards it is the 4 digits printed alone on the right side of the card.

Mail this form along with your payment to:
Contact Any Celebrity, 8721 Santa Monica Blvd. #431, Los Angeles, CA 90069-4507

Or Fax: 310-362-8771 (24-hours)