Paying With A Check...

In order to pay with a check, we ask that you print out this form and send it to the address below, along with your signed check. Please allow 7-10 days after receipt of your check for your account to be activated. If you have an E-mail address, you will receive your username and password to access the service. If you do not have an E-mail address, we will call you with the information. Cancellation of the service requires your written and signed authorization.

Name ____________________________________________

Address_____________________________________________

City__________________________ State ___ Zip ______________

Telephone Day ( ) _____________ Telephone Evening ( ) _____________

E-Mail Address (if applicable) ________________________

Password (if applicable - 5 digits minimum) ___________________

I wish to subscribe:

____One-time charge (usage for one month)

___ Recurring ___Monthly ___ 3 mos. ___ 6 mos. ___ 1 year

$4.95/month + your applicable local tax X no. of months = $_______________ (total)

Signature _________________________________

Send this form and your check to:

Eau Claire Press Company
CVOL
701 S. Farwell St.
Eau Claire, WI 54702

Note: Checks returned for reasons of nonsufficent funds or an inactive account will be charged a $15.00 service fee.