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<meta name="description" content="Get 12 CDs for Free by Joining Columbia House. Site is a Columbia House member-get-a-member site. This 12 Columbia House CDs for free offer is unique to Columbia House's regular 11 for free offer.">
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<a name="columbiahouse"></a>
<center><a href="http://www.futurecard.com/cgi-bin/wrapper.pl?006851" onMouseOver="window.status=''; return true">
<P><img src="newvisa.gif" width=94 height=59 hspace=0 border=1><img src="newvisa2.gif" width=106 height=59 hspace=0 border=1></a></center>
<center><a href="http://www.futurecard.com/cgi-bin/wrapper.pl?006851" onMouseOver="window.status=''; return true">Apply for a Credit Card - WIN a Trip</a></center>
<P><CENTER>
<IMG SRC="bar.gif" WIDTH=100% HEIGHT=15></CENTER><BR><CENTER>
<IMG SRC="12.gif" ALT="12" WIDTH=72 HEIGHT=42 HSPACE=0 VSPACE=0 BORDER=0><IMG SRC="cdsforfree.gif" ALT="CDs Free for New Columbia House Members" WIDTH=276 HEIGHT=42 HSPACE=0 VSPACE=0 BORDER=0>
</CENTER>
<H3 ALIGN=center>
Risk Free - 10 Day Trial<BR>
Available in US only.<BR>
Not available in APO, FPO, Alaska, Hawaii, Puerto Rico
</H3>
<CENTER><IMG SRC="bar.gif" WIDTH=100% HEIGHT=15></CENTER>
<H3 ALIGN=center>The steps to become a Columbia House member</H3>
<BLOCKQUOTE>
<a name="begin"><B>Step 1</b> - <A HREF="details.html"><IMG alt="The Details" align=absmiddle SRC="details.gif" WIDTH=128 HEIGHT=28 border=3></A> - Read the <A HREF="details.html">details</A> of the Columbia House offer.<BR><BR>
<a name="advantages"><B>Step 2</b> - <A HREF="advantages.html"><IMG alt="The Advantages" SRC="advantag.gif" ALIGN=absmiddle WIDTH=128 HEIGHT=28 BORDER=3></A> - Find out the <A HREF="advantages.html">advantages</A> of joining Columbia House.<BR><BR>
<a name="pick"><B>Step 3</b> - <A HREF="pick.html"><IMG alt="Pick Selections" SRC="pick.gif" ALIGN=absmiddle WIDTH=128 HEIGHT=28 BORDER=3></A> - <A HREF="pick.html">Pick your selections</A> from Columbia House.<BR><BR>
<a name="tips"><B>Step 4</b> - <A HREF="tips.html"><IMG SRC="tips.gif" ALT="Tips & Incentives" ALIGN=absmiddle WIDTH=128 HEIGHT=28 BORDER=3></A> - Learn about the <A HREF="tips.html">TIPS & the Incentives</A> for joining Columbia House.<BR><BR>
<a name="disclaim"><B>Step 5</b> - <A HREF="disclaim.html"><IMG SRC="disclaim.gif" ALT="Disclaimer" ALIGN=absmiddle WIDTH=128 HEIGHT=28 BORDER=3></A> - Read the <A HREF="disclaim.html">disclaimer</A> for signing up through this web page.<BR><BR>
<a name="form2"><B>Step 6</b> - <A HREF="#form"><IMG SRC="fillout.gif" ALT="Complete Application" ALIGN=absmiddle WIDTH=134 HEIGHT=28 BORDER=3></A> - <A HREF="#form">Fill out the application form to join Columbia House</A>.
</bLOCKQUOTE><CENTER><IMG SRC="bar.gif" WIDTH=100% HEIGHT=15></CENTER>
<A name="form">
<!--
<center><B>The 12 Columbia House CDs Free offer is currently unavailable.</center>
-->
<H3 ALIGN=center>Columbia House Application</H3>
<FORM ACTION="http://www.pair.com/cgi-bin/formmail.pl" METHOD="Post">
<INPUT TYPE="hidden" NAME="recipient" VALUE="ch-signup@usa.net">
<INPUT TYPE="hidden" NAME="subject" VALUE="Columbia House Application">
<INPUT TYPE="hidden" NAME="required" VALUE="Gender,Address1,City,State,Zip,FIRST,LAST,Preference,Age,read_disclaimer,reside_in_us,read_payment,AreaCode,Prefix,Suffix,member_before">
<INPUT TYPE="hidden" NAME="redirect" VALUE="https://members.tripod.com/~skao/ch_thankyou.html">
<INPUT TYPE="hidden" NAME="env_report" VALUE="REMOTE_ADDR,REMOTE_HOST,HTTP_USER_AGENT,HTTP_REFERER">
<INPUT TYPE="hidden" NAME="sort" VALUE="order:member_before,email,Type,ONE,TWO,THREE,FOUR,FIVE,SIX,SEVEN,EIGHT,NINE,TEN,ELEVEN,THIRTEEN,FOURTEEN,cd_sold_to_new_member_cd12,CDNAME_of_cd12,Preference,Telephone,AreaCode,Prefix,Suffix,mailorder,cash,creditcard,check,moneyorder,Gender,FIRST,INITIAL,LAST,Age,Address1,Address2,City,State,Zip">
<P><B>Important:</b> * denotes required fields.
<BR><I>Application will not be accepted if the denoted fields are left blank.</I>
<PRE>
E-Mail Address: <INPUT TYPE="text" NAME="email" SIZE=30>
* Mr.<INPUT NAME="Gender" TYPE="radio" VALUE="Mr."> Mrs.<INPUT NAME="Gender" TYPE="radio" value="Mrs."> Ms.<INPUT NAME="Gender" TYPE="radio" value="Ms."><BR>
* First Name: <INPUT TYPE="text" NAME="FIRST" SIZE=15>
Initial: <INPUT TYPE="text" NAME="INITIAL" SIZE=2 MAXLENGTH=1>
* Last Name: <INPUT TYPE="text" NAME="LAST" SIZE=15><br>
* Age: <INPUT TYPE="text" NAME="Age" SIZE=3 MAXLENGTH=3><br>
* Address: <INPUT NAME="Address1" TYPE="text" SIZE=50>
<INPUT NAME="Address2" TYPE="text" SIZE=50>
* City: <INPUT NAME="City" TYPE="text" SIZE=20>
* State: <INPUT NAME="State" TYPE="text" SIZE=2 MAXLENGTH=2>
* Zip: <INPUT NAME="Zip" TYPE="text" SIZE=5 MAXLENGTH=5>
* Phone: (<INPUT NAME="AreaCode" TYPE="text" SIZE=3 MAXLENGTH=3>)<INPUT NAME="Prefix" TYPE="text" SIZE=3 MAXLENGTH=3>-<INPUT NAME="Suffix" TYPE="text" SIZE=4 MAXLENGTH=4>
* Please select musical preference.
<INPUT NAME="Preference" TYPE="radio" VALUE="Light"> Light Sounds <INPUT NAME="Preference" TYPE="radio" VALUE="Jazz"> Jazz
<INPUT NAME="Preference" TYPE="radio" VALUE="Country"> Country <INPUT NAME="Preference" TYPE="radio" VALUE="Metal"> Metal
<INPUT NAME="Preference" TYPE="radio" VALUE="HardRock"> Hard Rock <INPUT NAME="Preference" TYPE="radio" VALUE="RB"> R&B
<INPUT NAME="Preference" TYPE="radio" VALUE="SoftRock"> Soft Rock <INPUT NAME="Preference" TYPE="radio" VALUE="Alternative"> Alternative
<INPUT NAME="Preference" TYPE="radio" VALUE="Classical"> Classical <INPUT NAME="Preference" TYPE="radio" VALUE="RapHipHop"> Rap/Hip Hop
<INPUT NAME="Preference" TYPE="radio" VALUE="DancePop"> Dance/Pop <INPUT NAME="Preference" TYPE="radio" VALUE="ChristianGospel"> Christian/Gospel
<INPUT NAME="Preference" TYPE="radio" VALUE="EasyListening"> Easy Listening <INPUT NAME="Preference" TYPE="radio" VALUE="Latin"> Latin
* Send my selections on
<SELECT NAME="Type" SIZE=1><OPTION>CDs
<OPTION>Cassettes
</SELECT>
Please <A HREF="pick.html">select CDs</A> before submiting application.
(write down catalog #'s and enter them below)
<I><B>NOTE: Make sure that the catalog #'s are from COLUMBIA HOUSE.
Any applications using catalog #'s from CD Universe or BMG will be rejected</b></I>
* Selections: <FONT COLOR="#FF0000">NOTE 2CD SET counts as 2 Single CDs</FONT>
<INPUT NAME="ONE" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="TWO" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="THREE" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="FOUR" TYPE="text" SIZE=7 MAXLENGTH=7>
<INPUT NAME="FIVE" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="SIX" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="SEVEN" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="EIGHT" TYPE="text" SIZE=7 MAXLENGTH=7>
<INPUT NAME="NINE" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="TEN" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="ELEVEN" TYPE="text" SIZE=7 MAXLENGTH=7>
(<FONT COLOR="#FF0000">OPTIONAL</FONT>) Bonus Offer from me: In addition to your 11 free from CH,<BR> I will send you an additional CD for<BR> $3.00 (to cover my shipping costs).
<a href="payment.html">Click here</a> for the payment option on this CD.
CD # <INPUT NAME="cd_sold_to_new_member_cd12" TYPE="text" SIZE=7 MAXLENGTH=7> CD Name: <INPUT NAME="CDNAME_of_cd12" TYPE="text" SIZE=30>
(<FONT COLOR="#FF0000">OPTIONAL</FONT>) Bonus Offer from CH:
Send another selection for $6.98 + shipping/tax & a FREE selection.
($6.98 additional enrollment charge)
<INPUT NAME="THIRTEEN" TYPE="text" SIZE=7 MAXLENGTH=7> <INPUT NAME="FOURTEEN" TYPE="text" SIZE=7 MAXLENGTH=7>
Do you have a telephone? Yes <INPUT NAME="Telephone" TYPE="radio" VALUE="yes"> No <INPUT NAME="Telephone" TYPE="radio" VALUE="no">
* Have you been a Columbia House Member before? Yes <INPUT NAME="member_before" TYPE="radio" VALUE="yes"> No <INPUT NAME="member_before" TYPE="radio" VALUE="no">
Have you ever bought anything by mail before? Yes <INPUT NAME="mailorder" TYPE="radio" VALUE="yes"> No <INPUT NAME="mailorder" TYPE="radio" VALUE="no">
How have you paid for your mail-order puchase? (check all that apply)
<INPUT NAME="cash" TYPE="checkbox"> Cash
<INPUT NAME="creditcard" TYPE="checkbox"> Credit Card
<INPUT NAME="check" TYPE="checkbox"> Check
<INPUT NAME="moneyorder" TYPE="checkbox"> Money Order
* <INPUT NAME="read_disclaimer" TYPE="checkbox"> I have read the <a href="disclaim.html">discliamer</a>.
Also, the above information is correct to the best of my knowledge.
* <input name="reside_in_us" type="checkbox"> I reside in the <B>Continental</b> United States.
Sorry, <B>not</b> available in APO, FPO, Alaska, Hawaii, Puerto Rico, & Canada.
* <input name="read_payment" type="checkbox"> I have read the <a href="payment.html">payment agreement</a>.
I also understand that <B>IF</b> I have requested a 12th CD, that it will
be sent AFTER I have paid for my first 11 CDs.
(Shipping is $2.39 per CD plus tax, if applicable)
<INPUT TYPE="submit" VALUE="Submit""> <B>Press Once, and wait for the next screen.</b></PRE>
</FORM>
<!--
Mail <A HREF="mailto:customer_service@columbiahouse.com">customer_service@columbiahouse.com</A> if you have any questions directed towards Columbia House.
//-->
<!-- Columbia House --><!-- Columbia House --><!-- Columbia House -->
<!-- the Columbia House home page can be reached at <A href="http://www.columbiahouse.com/"></A> //-->
<!-- music, cd, pop, alternative, rock 'n roll, columbia house -->
<!-- music, cd, pop, alternative, rock 'n roll, columbia house -->
<!-- the Columbia House home page can be reached at <A href="http://www.columbiahouse.com/"></A> //-->
<!-- music, cd, pop, alternative, rock 'n roll, columbia house -->
<!-- music, cd, pop, alternative, rock 'n roll, columbia house -->
<h2 align=center>Please obtain a frames capable browser to take advantage of all the features by clicking on either one of the two graphics below.</h2>
<p align=center>
<a href="http://home.netscape.com/bbguide/download/index.html" target="newwindow">
<img src="http://home.netscape.com/comprod/products/navigator/version_3.0/images/netnow3.gif" alt="Netscape Communicator 4.0" align=bottom border=0 width=88 height=31></a>
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<BR><B>Netscape Communicator (v4.0) Now Available!</b>
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