Garden Club Sign-Up

Benefits of Membership in the $100.00 Garden Club Program:

Savings-Save an additional 10% off all your R-Garden product purchases(excluding volume discounts and special offers)!
Convenience-Your pre-selected product order is shipped automatically to you in any month you have not already met your minimum purchase requirement(of products and/or sales aids).
Guarantee- You are guaranteed of maintaining your status as an 'active' R-Garden member by automatically meeting your minimum purchase activity requirement. This ensures your eligibility to earn bonuses every month!

Fields Marked "*" are Required Fields

* Name:
*E-Mail Address:
* ID#:
*COUNTRY:
* Social Security Number	Required for U.S.A. Customers Only

*Please Charge My: (Select 1)(required)
*Credit Card:
*Exp. Date:
* NAME of PAYER ID :
*PHONE of PAYER ID :
*Payer ID# :

*Billing Address

*Address 1:

Address 2:

*City: *ST/Prov.: *ZIP:

Mailing Address:

Address 1:

Address 2:

City: ST/Prov.: ZIP:

Garden Club Pack #1 - $100.00- Garden Pack(Includes Maximizer 360, Inner Garden Flora 100, Sun Energy 180, Multi Vitamin Mineral Formula 180)
Garden Club Pack #2 - $100.00- Garden Pack(Includes 2 Gamma-Zyme 200,Inner Garden Flora 100, Sun Energy 180, Multi Vitamin Mineral Formula 180)
Garden Club Pack #3 - $100.00- Garden Pack(Includes Maximizer 360, Inner Garden Flora 100, Multi -Vitamin Mineral Formula 180,"Vitamin-O" 2 oz.)
Custom Garden Pack- $100.00- I want to create my own $100.00 Garden Pack using the form below.(Product total must be at least $112.00 before discount.)
Custom Garden Pack- 50. 00 - I want to create my own $ 50. 00 Garden Pack using the form below. I understand that with this choice I am not eligible for a 10% discount .

Custom Garden Pack Form

Product Description-must be at least 4 characters long.	QTY	Price Ea

*Please select and click on one of the following:

Terms and Conditions:

* By checking this box, I authorize R-Garden to enroll me in its Garden Club Member Program and to ship the products listed as a back-up order, in any month that my orders do not equal or exceed the Member Price specified by the 25th day of the month. Please withdraw payment for this Garden Club invoice amount from my credit card or bank account. R-Garden will not ship these products in any month that I place orders equaling or exceeding those shown in this authorization. R-Garden is under no obligation to ship any products if the authorized accounts have been overdrawn or closed.

To change quantities, method of payment, or the authorized amount, a new Garden Club Member Agreement form must be submitted to R-Garden. A handling fee of $5.00 will be added to all orders as well as special shipping costs if outside the the United States.

This authorization will remain in effect until I send, in writing, my cancellation of this optional Garden Club Member Program to R-Garden, bearing my signature, printed name and R-Garden member Number. This cancellation will be effective the calendar month in which it is received by R-Garden. R-Garden reserves the right to change packaging, products or pricing without notice.

Press Submit to send or PRINT and SIGN here(fax or mail)->

Updated 02-15-2005