WDIFL Membership Mail-In Order
Form
Print Out -
Fill Out - Mail In (US Funds Only)
Please sign me up for WDIFL Membership:
One Year Membership @ $59.95 per year
Total: ________________
Four Month Membership @ $19.95
Total: ________________
Life Time Membership @ $150.00
Total: ________________
______________________________________________
Name: ___________________________________________________________
Address: _________________________________________________________
City: _____________________________________________________________
State: _______________________________________ Zip Code: ____________
Mailing Address (if different): __________________________________________
Phone (Days): ____________________ Phone (Eves): _____________________
e-mail Address: ______________________@_____________________________
Choose your Username and Password must be at least 6 characters long and are case sensitive.
Username: _____________________________
Password: ______________________________
Select Payment Type: (include payment with form)
Check Payment Type: _____Cashiers _____ Money Order _____
Certified Check
_____ Personal Check
Check Number: __________ (personal checks need to clear our bank
before membership is activated)
Credit Card Payment Type: _____ Visa _____ Mastercard
Name as it appears on card: ___________________________________________
Card Number: _______________________________________________________
Expiration Date: _____________________________________________________
Your Signature: ______________________________________________________
Make checks payable to: Ewald
Enterprises
Mail Order Form To:
WDIFL.com Membership
Ewald Enterprises
2727 Covey Court
Brea, Ca. 92821
E-mail: Membership Desk