DALLAS MAVERICKS OFFICIAL VIP CLUB MEMBERSHIP FORM

NAME ______________________________________________
ADDRESS __________________________________________
CITY ________________________________________________
STATE ______________________ ZIP ____________________
PHONE ____________________________________________
BIRTH DATE __________________________________________
CHILD: S   M   L   XL
E-MAIL:____________________________________________________
FOUND OUT ABOUT MFFL BY: ______________________________
PAYMENT OPTION (CHECK ONE)

VISA  AM EXPRESS  CASH
MASTERCARD  CHECK  MONEY ORDER
CARD NO. _________________________________________
EXP. DATE ___________________________________________
SIGNATURE ________________________________________

YOUR ANNUAL MEMBERSHIP FEE INCLUDES THE FOLLOWING:
AUTHENTIC, AUTOGRAPHED PLAYER PHOTOGRAPH
MAVS APPAREL
10% OFF MERCHANDISE AT THE MAVS OFFICIAL FAN STORE LOCATED AT AMERICAN AIRLINES CENTER
EXCLUSIVE OPPORTUNITIES FOR MAVS PRZES AND SPECIAL EVENTS LIKE PLAYER MEET AND GREETS, TOURS, CLINICS, ETC. THROUGHOUT THE SEASON

TO JOIN MAVS FANS FOR LIFE, MAIL MEMBERSHIP FORM AND PAYMENT INFORMATION TO:
CALVERT DIRECT, P.O. BOX 851, COLLEYVILLE, TX 76034.
Total Amount Due with Shipping & Handling:
Texas Residents add $3.30 sales tax
$39.95

Call 1 -800-876-9468 for more information.