MEMBERSHIP APPLICATION

Members receive: An 8 x 10 color photo, biographical information, merchandise order form, and a newsletter four times a year, which includes tour dates, photos and information about Billy Ray’s career. Members are also eligible to win one backstage pass a year.

______ New Membership
______ Renewal; Membership Number _______________

DUES (make checks payable to "Billy Ray Cyrus Spirit"):

______ $ 15.00 USA
______ $ 15.00 Canada, all other countries (must be in US funds & checks drawn on a US bank)

______ VISA
______ MASTERCARD

Card Number: _____________________________________________________ Exp. Date: ______________________

Signature: _______________________________________________________

MEMBER INFO
Name: ___________________________________________________
Address: ___________________________________________________
City, State, Zip: ___________________________________________
Phone Number: _________________________________(please include area code)

Email address: ______________________________________________

Mail To: The Billy Ray Cyrus Spirit | P.O. Box 1206 | Franklin, TN 37065-1206

Referred by Michelle Clark
www.geocities.com/~singinghills

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