Trini Triggs Fan Club
PO Box 5133
Shreveport LA 71135-5133

Please print and complete this form. Then, mail to the address above.
Be sure to fill out the form completely and include your signed check / money order
for $15.00 US residents per year ~ or ~ $ 20.00 US funds per year for Canada
and all foreign countries per membership.

Your packet will contain:

Meet & Greet	Membership Card
Autographed (8x10) Photo	Bio & Stats Sheet	Tri-Annual Newsletters

Name:
Address:
City:	State:	Zip/Postal code:
Country:
Phone # ( _______)
Birthday: (MM/DD/YY)

For office use only. Please do not write in this section. Thank You!
Membership #		Expiration Date :
Money Order:		Check #:
Total:		Paid by:

Send signed Check / Money orders for $15.00 US residents per year
or $ 20.00 US funds per year for Canada and all foreign countries
per membership to: Trini Triggs Fan Club, PO Box 5133, Shreveport, LA 71135-5133
Please allow 6 - 8 weeks to receive your packet. For multiple packets,
please send a separate order sheet for each.
Questions or more information please call: Peggy Mitchell / Toni Mitchell (318) 697-2788