Now that you have read our main page and you want to join Grizz's
Safe Mail, You will need to fill out this form below. Please make
sure to write in clean clear BLOCK letters so that we can 
understand your information. 
We will not give out your information to anyone. 
This information is for Grizz's Safe Mail use only.

A one time $10.00 US processing charge is required. 
Please send your personal or certified check to Roy Rudder. 
Once your order is received we will activate your access to
Grizz's Safe Mail list.

PRINT THIS PAGE OUT AND MAIL IT IN WITH YOUR PAYMENT.

Please make your payment out to ... Roy Rudder ... 
and mail your payment to the following address.

Roy Rudder
4024 Bull Creek Rd.
Nathalie, Va. 24577 
Ph: 1-804-376-2542

Name : ______________________________________________

Your e-mail address : __________________@________________________

Your mailing address :___________________________________________

             ____________________________________________________

             ____________________________________________________

Your Phone Number : _________________________________

Sponser ID# __________________________

I have read the Member agreement and accept the terms

Signature :____________________________________________

Thank you for filling out our order form.

Grizz's Safe Mail
safemail-support@rrudder.com