Randy LaJoie

Randy LaJoie
2005
Fan Club Membership
$17.00 - Per Person

signed-8x10 - Certificate & I.D. Card - Newsletters - Birthday Cards - Key Chain & Much Much More!!

Effective
Feb. 24, 2005

Expires
Dec.31, 2005

Allow 6-8 Weeks for delivery

Membership Certificate for : New Member__________ Renewal___________

Membership #

Please Print Clearly

Name_____________________________________________

Address___________________________________________

City_____________________ State________________ Zip________________

Phone #__________________________Birthday______________________

Please Print out form and send it to Randy LaJoie Fan Club

Please Send:
Check or Money order
Payable to:
Randy LaJoie Fan Club

Please Mail To:
Randy LaJoie Fan Club
P.O. Box 3478
Westport, CT. 06880