TO:  Harriet's Creations, Inc.

       2974 Green Fairway Cove N.

       Collierville, Tn.  38017

       901-854-1104

BakeryBuddy.com Subscription Enrollment form

Date: ____________________

To Whom It May Concern:

By my signature and fax, I authorize Harriet Cobb of Harriet’s Creations, to charge my credit card for the amount of $125.00.  This amount is credited to my BakeryBuddy.com subscription and allows me a one year subscription from this date of enrollment.

New Enrollment:   Yes    No  (Circle One)  Renewal:  Yes   No (Circle One)

Visa     MasterCard    (circle one)

Credit Card # _______________________Expiration Date_________

Last 3 digits on back of card___________

Name: ____________________________________(Please Print)

Address: __________________________________

City/State: __________________________, Zip code_______

Phone # ________________________

Billing Zip Code: same or ________

Signature  ________________________________________________                                                                 

Please return by fax to: 

Harriet’s Creations, Inc.

901-861-9581

I will call you to verify information so you will know your fax was received, and account setup.

FAX-901-861-Thanks.Sincerely,