Front Sight's Lifetime Membership Enrollment Form

Name: __________________________________________________________________

Address: ________________________________________________________________

City: ___________________________________ State: ______ Zip: _________________

Hm Phone: ___________________ Wk: _________________ Cell:__________________

e-mail: ______________________________ website: ____________________________

Please check one payment plan below:

     60 monthly credit card payments of $99 for a total cost of $5,940
     24 monthly credit card payments of $199 for a total cost of $4,776 (a $1,164 savings)
     A single payment of $3,900 (a $2,040 savings!)

Credit Card #__________________________________________________ Exp: ______
                        (VISA, MasterCard, Discover, American Express)

Signature: _______________________________________________________________

Fax this form immediately to my desk at 707.837.0694 and a Front Sight Representative will handle it personally.

If making a single payment in full and paying by check or credit card you can mail immediately to:
Front Sight, 7975 Cameron Drive, #900, Windsor, CA 95492

If you are ready to become a member and wish to enroll over the phone, please feel free to call us at 1.800.987.7719 and we can immediately process your membership and priority mail your membership materials.

Sincerely,
Dr. Ignatius Piazza