Your Membership awaits you...

PRINT, COMPLETE AND SEND THIS FORM WITH PAYMENT TO:

Logistix Productions, Inc.
P.O. Box 1615
Coos Bay, OR 97420-0335

Name ____________________________   E-Mail ________________________

Address _________________________   What drum module(s) do you use?
                                             
City,State,Zip __________________   _______________________________

Phone ___________________________   _______________________________

[ ] U.S. Money Order
[ ] Cashier's Check       


 ITEM#    DESCRIPTION                QUAN. (x) PRICE (=) EXTENSION
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 MEM-ST   Standard Membership        [   ]   $  20.00    [       ]

 MEM-PT   Platinum Membership        [   ]   $  35.00    [       ]

 MEM-PP   Platinum Plus Membership   [   ]   $  69.95    [       ]

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                                               TOTAL:    [       ]
All payments must be made with a Cashier's Check or Money Order drawn on a U.S. bank. Access information will be sent to you via e-mail upon clearance of payment. Please write your e-mail address legibly to ensure that your receive your access information. Unlike Platinum Membership, Standard Membership is only active for a duration of one year. Platinum Plus Membership includes a Parts Kit that will be shipped to your U.S. address via Priority Mail. Shipping has been pre-calculated into the price for you.

Thanks!

We appreciate the opportunity to serve you!