VintageDudes.com 
O r d e r    F o r m 
 Please fill in the form below and print it.  Mail it to the address at the bottom of the form along with your check or money order. After your order has been received, you will be sent a confirmation via email and given access through the member area!
One time payment of $12.95 to access the VintageDudes.com site for 30 days.
First & Last Name: 
Street: 
City: 
State: 
Zip: 
Country: 
E-mail address: 
Card Type: 
Expiration Date: 
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Credit Card Number: 
Name on Credit Card: 
Please choose a case sensitive Login Name 
and Password to use for your subscription:
Your Login Name:
Your Password:
Please print out this order form, complete, 
make check payable for $12.95 to Andros and mail to: 
Vintage Dudes
6172 Streamview Dr.
San Diego, CA  92115
Please contact support@androsbbs.com if you have any questions regarding this transaction.