GR.A.N.I.'S.

(The GReat American Novel Invitational Society)

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Join "The GR.A.N.I. Society":

The Great American Novel Invitational Society (GR.A.N.I.'S.) invites you to apply for membership. Please fill out the following form ... and then press the [Join-Now] button (at the bottom of this form) when ready....

Title:	First Name:	Middle Name/Initial:
Last Name:		Generation:
Mailing Address:		Apt/Suite #
Mail Address #2:
City:		State/Prov:
	Zip/Post Code:	Country:
E-Mail:		Area Code: Phone:

Method of Payment:

In applying for Membership in The Great American Novel Invitational Society (GR.A.N.I.'S.), I authorize the Society to charge my credit card, provided below. My membership will be renewed and charged annually unless I cancel it.

Please bill my Visa MasterCard for $12.95 for a one year Membership in the Society. (We will renew your membership for you automatically unless you tell us otherwise.)

Please enter your credit card information below:

If you prefer to give your credit card number to us by phone, enter only the card's last five digits. When we receive your order, we'll e-mail you the phone number to call to provide your full credit card number. You may also print this form and mail it to us. Finally, you can print the form and enclose your check .

Credit Card Number	Expiration Date	Name (exactly as it appears on card)
	.
If the billing address on your credit card differs from the mailing address that you provided above, then please enter the billing address for your credt card below--
Billing Address (number, street, apt. #):
Billing Address City:		State Zip/Postal Country

Guarantee: If, for any reason, you are not happy with your membership, you may cancel within the first four months and receive a full refund of your membership fees. If, at any time during the remaining term of your membership you wish to cancel, you may receive a pro-rata refund for the months not used.