Press Room Shopping Cart Login Home > Family & Friends > Membership Form Membership Form Please complete one enrollment form per person. Within 6-8 weeks after providing credit card information, new members will receive a complete membership kit, including a free gift valued at an SRP of $125. Once completed, simply mail or fax this form to: M.I. Hummel Club Goebel Plaza P.O. Box 11 Pennington, NJ 08534-9964 [Fax] 1-800 HUMMEL4 Visa, MasterCard, American Express and Discover (US only) are gladly accepted. Please Check one of the Following Two Choices [ ] YES! I want to join the M.I. Hummel Club® and enjoy all the benefits you've reserved for me, including a free gift valued at an SRP of $125. Auto-Renew Program for credit/debit card customers only: [ ] YES, I would like to enjoy the convenience of automatic renewal so I can be sure my membership benefits will continue uninterrupted. Please automatically re-enroll me in the Club each year and charge my credit/debit card the then-current renewal rate less 10%, unless you hear otherwise from me. I will also enjoy all the benefits you've reserved for me, including a FREE gift valued at an SRP of $125! _____________________________________ (name of new member) _____________________________________ (street) _____________________________________ (city) _____________________________________ (state/province) _____________________________________ (zip/postal code) _____________________________________ (country) One year's membership fee of $60* will be charged to (check one): [ ] VISA [ ] MASTERCARD [ ] DISCOVER (US only) [ ] AMERICAN EXPRESS CREDIT CARD NUMBER:_______________________ EXP __/__/__ CARDHOLDER'S NAME:____________________________________________ (Please print) _____________________________________ (cardholder address if different from above) _____________________________________ (city) _____________________________________ (state/province) _____________________________________ (zip/postal code) _____________________________________ (email address) CARDHOLDER'S SIGNATURE:_____________________________________ (Form #AP32IN) *U.S. price is $60. For Canadian purchases use U.S. price. Credit Card company will establish and apply the exchange rate. M.I. Hummel ®, Hummel ® and M.I. Hummel Club ®, in signature and/or blockforms, are registered trademarks of Goebel Porzellanmanufaktur GmbH, Germany. M.I. Hummel figurines, plates and bells are copyrighted products. All products of Goebel Porzellanmanufaktur GmbH, Germany, are design-patented and copyright protected, all trademarks are registered. © 2008.