Famrates.com: Fax Subscription Form

Famrates.com Fax Sign-Up Application
Please type and Fax completed form to
908-756-1901.
1-year subscription rate of $19.95.
You will receive an email confirmation within 24 hours of our receipt of your application with your login information.

First Name: Last Name:

Street Address: City:

Zip Code: State: Country:

E-mail: Phone: Fax:

Company Name:

Credit Card Info (select one) Amex

Visa

Master Card

Discover

Credit Card #: Exp. Date:

Billing Address (If different from the above address):

City: State:

Zip Code: Country:

I wish to subscribe to Famrates.com for 1 year at the subscription rate of $19.95. I will receive an e-mail confirmation with my personal and confidential username and password information. I hereby authorize Famrates LLC to deduct the subscription amount from the above indicated credit card.

Signature: Date:

Please sign and fax back to 908-756-1901

Copyright © 2001-2008 Famrates L.L.C. All rights reserved. Famrates LLC does not represent the companies or individuals on this site. All information is subject to change without notice.
This site is for travel industry professionals only. Proper I.D. is required to participate in all of the discounts listed.