Home Secretarial Services (HSS)

MasterCard/Visa - FAX It or Mail-In Order Form

You can join our team more quickly and conveniently through the use of your credit card. Just print out this form and fax or mail it to HSS.

Name___________________________________________________________

Street Address_________________________________________ Apt________

City ____________________________________________________________

State/Province ___________________ Country____________ Zip___________

Ship to Address:___________________________________________________

E-mail___________@__________________ Phone _____ _____ ___________

Credit Card type (check one): ____ Visa ____ MasterCard

Name on card_____________________________________________________

Card No.___________________________________ Expiration Date_________

Vin Code No. ________ (last three digits in the signature area on back of card)

I give Home Secretarial Services (HSS) permission to debit my credit card toward membership. I also realize that when membership comes due again, that I will be notified by mail, one month prior to HSS debiting my account automatically for renewal. I will have the option to cancel at that time by telephone, mail or e-mail to the HSS offices. I will also keep a copy of this contract in my files.

Membership price good through February 15, 2008. HSS guarantees not to raise prices to current members more than 5% per year. Members will be notified by mail prior to renewal, of any increases to membership. Changes to membership prices reflect costs for advertising, printed materials, postage and labor.

Card Holder Signature _________________________________ Date ________

Membership (one full year) $72.00 - U.S. Secretaries
Membership (one full year $32.00 - International Secretaries

Total Amount Due $__________  Initial: ________

FAX to: (614) 986-7234 or Mail your SIGNED order to:

Home Secretarial Services PO BOX 27642 Columbus, OH 43227-0642