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)
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 (24 hours) or Mail your SIGNED order to:
Home Secretarial Services PO BOX 27642 Columbus, OH 43227-0642.