ANOTHER-HOME.COM --- MEMBERSHIP FORM 

Sign-In Information

First and Last Name : ___________________________________________

Address : _______________________________________________________

City : _______________________ ZIP/Postal Code : ________________ 

State/Province : ______________ Country :__________________

Day Phone : ____________________ Evening Phone :_________________

EMAIL : __________________________________


Payment by cheque in your own Currency

Lifetime Membership:      100$CDN or 90$US or 75 euros, Check here ____

One Year  Membership:     53$CDN or 47$US or 39 euros.  Check here ____ 


Our offices

Please make your cheque payable to Serge Dugas 
and mail it to one of the addresses below.
______________________________________________
In FRANCE 
Another-Home.com 
44 Côte de la Capelette 
81 300 GRAULHET 
FRANCE 
_____________________________________________
In CANADA 
Another-Home.com  
10550 St-Urbain 
Montreal (QC) 
H3L 2V1 
CANADA
___________________________________________
As soon as we receive your payment you will receive the same day directives 
where to put your house listing and you will then be provided a password.
Don't forget meanwhile to send us 3 pictures of your house by mail or email
that we will attach to your listing.
If you have questions or comments please use the back of this sheet.
Thank you for joining us!

Serge Dugas