Printable Application Form

Shatner & Friends International

The Official William Shatner Fan Club
A community of friends drawn together by an appreciation
of William Shatner, the actor and the man

Send your completed application and check or money order to:

Shatner & Friends International
P.O. Box 1345
Studio City, CA 91604

 

Name (Please print)_______________________________________

Street __________________________________________________

City _________________________ State ______Zip ____________

Country _______________ Phone Number (___)_______________

E-mail _________________________________________________

Membership Fees:

United States: $ 24.00, Canada: $ 26.00, Foreign: $ 32.00

International Money Orders must be in U.S. Dollars.

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