Secure Credit Card Contribution The following page allows you to submit a Contribution using a Secure Transaction Server (note the "https" in the URL location). All of the data entered on this page will be encrypted before it is sent across the Internet. You will receive a confirmation by automated return email indicating that your contribution was correctly received. If you do not receive a confirmation email within one hour, please send an email message to Matt Dralle to have the problem resolved. Thank you for your support! Matt Dralle Matronics Email List Administrator VISA and MasterCard Contribution Form ° First Name: ° Last Name: ° Email Address (On Matronics Lists): ° Credit Card Type (select one): VISA MasterCard ° Credit Card Number: - - - ° Credit Card Expiration : - Select Mo - 010203040506070809101112 / - Select Yr - 18192021222324252627282930 ° Exact Name on Credit Card: ° Contribution Amount (select one): $50 or more includes Free Gift! $20 $30 $40 $50 (Qualifies for Archive CD.) $60 (Qualifies for any above.) $70 (Qualifies for any above.) $80 (Qualifies for any above.) $90 (Qualifies for any above.) $100 (Qualifies for any above.) $110 (Qualifies for any above.) $120 (Qualifies for any above.) $125 (Qualifies for any above.) $150 (Qualifies for any above.) $175 (Qualifies for any above.) $180 (Qualifies for any above.) $400 (Qualifies for any above.) Other: $ ° Register for your qualifying Free Gift (select one): No Gift, Thankyou CD - Matronics Email List Archives (For Windows 2000/XP/Vista/W7) $50 or greater ° Gift Shipping Information (If registering for a Free Gift): Company: Name: Address: City: State/Province: Zip Code: Country: USA Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Barbuda Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia-Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Colombia Congo - Brazzaville Congo, The Republic of Cook Islands Costa Rica Croatia Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar/Burma Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saba Saipan San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Somalia South Africa South Korea Spain Sri Lanka St. Barthelemy St. Croix St. Eustatius St. Kitts and Nevis St. Lucia St. Maarten/St. Martin St. Thomas St. Vincent Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Togo Tortola Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA U.S. Virgin Islands Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis Futuna Yemen Yugoslavia Zambia Zimbabwe ° I'm Currently Subscribed to the Following Lists: Aerobatic AeroElectric Allegro AnPMech Aviation Avionics Beech Cadet Cessna Citabria Commander Continental CorvairEngines Corvette Cub Czech Engines Europa EZ Falco FEWMustang Glasair Homebuilt Jabiru JabiruEngine KIS Kitfox Kolb KR L29 L39 Lancair Lightning Lom LycomingEngines M14PEngines MurphyMoose Pelican Pietenpol Piper Pitts Pulsar Rans Rocket RotaxEngines RPA RV RV3 RV4 RV6 RV7 RV8 RV9 RV10 RV12 RV14 RVCanada RVEurope RVSouthEast Sailplane Seaplane Skymaster SmithMini Sonerai Stinson Stratus Tailwind Taylorcraft TeamGrumman Ultralight Warbird XDP4000X Yak Zenith Zenith601 Zenith640 Zenith650 Zenith750 Zenith701801 ° Message to the List Administrator or Special Instructions (Optional): ° Click the Button Below to Submit your Contribution: !! Click only ONCE and allow up to 1 minute to process !!
Secure Credit Card Contribution The following page allows you to submit a Contribution using a Secure Transaction Server (note the "https" in the URL location). All of the data entered on this page will be encrypted before it is sent across the Internet. You will receive a confirmation by automated return email indicating that your contribution was correctly received. If you do not receive a confirmation email within one hour, please send an email message to Matt Dralle to have the problem resolved. Thank you for your support! Matt Dralle Matronics Email List Administrator
The following page allows you to submit a Contribution using a Secure Transaction Server (note the "https" in the URL location). All of the data entered on this page will be encrypted before it is sent across the Internet.
You will receive a confirmation by automated return email indicating that your contribution was correctly received. If you do not receive a confirmation email within one hour, please send an email message to Matt Dralle to have the problem resolved.
Thank you for your support!
Matt Dralle Matronics Email List Administrator
