"If you can't do the time, don't do the crime." Please print this form, fill it out and send it to us: (1) By fax: or (2) By snail-mail: The Collective Detective 818-366-2337 9420 Reseda Blvd, No 222 Northridge, CA 91324 USA YES! I think your service is the greatest thing since fingerprints, and I want to become a member. I have read and agree to all the terms and conditions of membership. I understand that I may change or cancel my membership at any time with no further obligation. Alias (Account ID): _________________________ (3 to 25 characters) Password: _________________________ (3 to 15 characters) Name: _________________________________________ Company: _________________________________________ (If applicable) Address: ___________________________________ Unit/Suite No: _______ City: ___________________________________ State or Province: _______________ Zip or Postal Code: _____________ Country: _________________________________________ (If not USA) Phone No: _______________________ Fax No: _______________________ E-Mail: _________________________________________ Web Site: ____________________________________________________________ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ I want access to the following Databases (select one or more): [ ] Comic Books [ ] Sports Cards [ ] Non-Sports Cards [ ] Sports Figures [ ] Action Figures [ ] Sports Memorabilia [ ] Collectible Card Games [ ] General Collectibles +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Type of Account: [ ] Dealer: I authorize a monthly charge of _______________ , beginning immediately, for unlimited access to the Databases selected. (1 Database = $36 per month, 2 = $60, 4 = $75, unlimited access to all = $100) or [ ] Private Collector: I authorize a charge of _______________ ($20.00 minimum) immediately, and whenever my balance becomes $5.00 or less. ($.25 for each item found, $1.00 maximum per search) +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Method of Payment: Credit Card: [ ] Visa [ ] MasterCard [ ] American Express Account No: ________________________________ Expiration Date: __________ or Cash: [ ] Check enclosed. Bill me as required. +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Who tipped you off to The Collective Detective? ___________________________ Reach out. We value your comments and suggestions: Signature: _________________________________________ Date: _____________