1 Spirit SECURE Order Form
When you fill out this form, please know that no one
will have access to your credit card information.

There are 3 ways to join 1 Spirit

1. Fill out this form and send it to us by clicking "Join Now".
If your browser does not support forms please E-mail us.

Or 2. Print out this form and Snail-Mail it to us at:
1 Spirit
PO Box 733
Mt. Shasta, CA 96067

**Important -- Make Checks Payable to: Troika St.Germain**

Or 3. Telephone us at 530-926-0700

THIS IS A SECURE ORDER FORM.

Fill in the Information you desire for your listings,
then fill out the form below and click "Join Now"
OR e-mail us for any questions you have or further information you may need.

This information is how you want to be listed in the 1Spirit directories.

Title of Your WebSite
12-15 Word Description
Category 1
Category 2
Category 3
Category 4
Category 5
Your URL

1Spirit ANNUAL MEMBERSHIP is $360 p/year

Enter name & address exactly the same as on your credit card and billing address.

Name
 First
 Last
Address
City
State/Prov  
Zip/Postal
Country  
Phone
Fax (Optional)  
E-mail
Comments
Type of Payment
 Name on Credit Card & CVV2 Click for info
Credit Card #
 Exp Date: Mo    Year  
 
Thank You for Joining 1 Spirit!

*Notice -- Your website will be reviewed before membership is granted. We reserve the right to refuse membership,
based upon our "soul" opinion, to websites we feel are inappropriate for 1Spirit. Your card will NOT be charged in that case.

Your credit card statement will show this charge to be from "Saint Germain Cosmetics which is the parent company of 1Spirit.com.

This Form May Not Work With All Browsers

YOU ARE IMPORTANT TO US!

If You Have ANY Type of Problem Sending This Form
Please E-MAIL or Call us at 530-926-0700.

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