If you are 12 years old or younger, you MUST have a parent or guardian's written permission to join the AMERICAN CHILLERS fan club. Simply print this form, and have your parent or guardian sign it. Mail it to us, along with a letter with at least 50 words, telling us why you like to read AND A Self Addressed Stamped #10 Envelope (4 in. x 9 1/2 in.). It's that simple! You'll receive your official membership kit containing your membership card, welcome letter, free bookmark and MORE within 3-4 weeks! Mail this form and your letter to:
AMERICAN CHILLERS
FAN CLUB
281 Chillers Lane
Topinabee Island, MI 49791
(Please understand that, if you are 12 or under and we don't have permission from your parent or guardian, we cannot mail your membership materials.)
PLEASE
PRINT CLEARLY -
PLEASE USE REAL NAMES ONLY
SEND WITH SELF ADDRESSED STAMPED
#10 ENVELOPE (4 in. x 9 1/2 in.)
FIRST NAME_____________________ LAST NAME_______________________________
STREET ADDRESS OR PO BOX_______________________________________________
CITY____________________________________________STATE________ZIP_________
AGE _____ E-mail address____________________________________________________
"I am the parent or guardian of the child listed above, and I give him/her my permission to join the AMERICAN CHILLERS fan club. I understand that his/her FIRST name, age, city, and state may be posted on-line. I also understand that members names will never be sold or shared with any outside company or individuals."
To read our complete privacy policy, click here.
SIGNATURE OF PARENT OR GUARDIAN______________________________________________
PRINT NAME OF PARENT OR GUARDIAN_____________________________________________
If you have any questions, please e-mail the Fan Club Offices at any time.
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