To join, please fill out the form below, following the instructions carfully, then submit your application.
Please read and check your agreement.
(If you do not check this box, your application WILL BE VOIDED!)
Please accept my membership in the Club. Send my 12 CDs for FREE, plus
shipping and handling
. I agree to buy 5 more CD selections (at Regular Club prices) in the next 2 years--and may cancel membership anytime thereafter. If I am not satisfied, I may return my introductory selections within 10 days, at
Columbia House
's expense, and owe nothing.
Please fill out the following:
Mr.
Mrs.
Ms.
Name:
Address:
City:
State:
Zip:
Offer not available outside the United States.
Phone Number:
Age:
Send me these CDs:
*
DO NOT
use
Sound & Spirit
order numbers! *
(Remember, double CDs count as two selections!)
Selection 1:
Selection 2:
Selection 3:
Selection 4:
Selection 5:
Selection 6:
Selection 7:
Selection 8:
Selection 9:
Selection 10:
Selection 11:
Selection 12:
CD BONUS OFFER:
Also send me this single CD for only $6.95 (plus shipping and handling) and these other 2 CDs free:
Selection 13:
Selection 14:
Selection 15:
I am always free to choose from any musical category, but I prefer (choose one):
Contemporary Christian
Christian Rock/Alternative
Gospel
Please answer the following questions:
Do you have a telephone?
yes
no
Do you have a VCR?
yes
no
Have you ever bought anything by mail in the past?
yes
no
How have you paid for your mail-order purchases?
credit card
check
money order
cash
Please read and check your agreement.
(If you do not check this box, your application WILL BE VOIDED!)
By filling out this form and submitting it, I give permission to the creators of this page to fill out and sign a Columbia House application in my favor. I agree to fulfill the terms set forth in the
Columbia House agreement
, just as I would if I were to sign and send in the Columbia House application personally.
We need your email address so we can send you confirmation.
We will not process any application without an email address.
E-mail address:
You will receive confirmation within a week. If you do not,
contact us
.
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