You may list my name and email, but do not release anything else.
Do not release any information about me.
Mark this box if you DO NOT want access to the RexxLA
members discussion forum.
If you indicated you will be paying by online Credit Card, you will be
transferred to PayPal where you can securely enter the details of your card.
You do not need a PayPal account to use this method of payment.
If you don't have a PayPal account (or don't wish to use it) simply indicate
that when PayPal asks.
You will be prompted for the necessary information at that point.
For all other payment methods
please print the confirmation page, and send it with your payment to RexxLA at
the address on the confirmation page.
If you want a record of your application, please print the
Last updated on 25 April 2006 by