ENROLLMENT FORM

Send this completed form with payment (check, money order or cashier's check) in U.S. funds to:

RLH Fan Club
PO Box 1052
Hendersonville, TN 37077-1052

Please print (allow 4-6 weeks for delivery)

Name:
Address:
City:
State: Zip/Postal Code:
Birthday:
Home Phone:
Work Phone:
E-Mail:
New Member ($15) Renewing Member ($10)
Payment Amount:
Payment Type: Check   Money Order   Cashier's Check