Good Traders List
New Membership Form

Name: ____________________________________________________________

Address: __________________________________________________________

City: ______________________  State: _____________ Zip: ________________

Country: _________________________

Phone: ___________________________

Email addresses: ____________________________________________________

__________________________________________________________________

Other family member
email addresses to be listed:___________________________________________

__________________________________________________________________

Ratings elsewhere:  yes ____      no ____

User ID/links: ________________________________________

Method of payment:  check ____  money order ___  cash ____  Check No. _______
($15.00 a year membership)

Amount of payment: _____________________ Date of payment: _______________

Notes: _____________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Mail form to:

Traderlist
P.O. Box 651
Sharpsburg, GA 30277