The Monthly Adventure Company

Fabulous gifts for anyone-even you

1-800-393-2181
Fax Your Order to (609) 799-1493 or submit the online form below.

	Billing Information
	Billing Name:
	Company Name: (if applicable)
	Billing Address:
	City:
	State:
	Zip:
	Home Phone:
	Work Phone:
	Email:
	How did you hear about us?

	Methods of Payment
	Credit Card Type
	Visa Master Card Discover American Express
	Credit Card #:
	Name on Card:
	Expiration Date:
	Please Charge My Card:	In Full Monthly

			The Great American Beer Club
		Monthly Membership $17.95 per month plus shipping and handling (plus taxes where applicable). Please specify number of months:
		Annual Membership $17.95 per month plus shipping and handling (plus taxes where applicable). Join now for 12 months and receive a FREE $25.00 gift certificate for merchandise in our shoppers guide.
		I certify that the recipient is over 21 years of age.
		Enter Recipients Age. Any information that is false is considered fraudulent.

	Ship To Name:
	Company Name (if applicable):
	Address (no PO boxes please):
	City
	State:
	Zip:
	Home Phone:
	Work Phone:
	Gift Message:
	Gift From:
	Select where to mail our Gift Letter	GiverRecipient
	Starting Month:	ASAP January February March April May June July August September October November December

			The Global Wine Club
		Monthly Membership $25.95 per month plus shipping and handling (plus taxes where applicable). Please specify number of months:
		Annual membership-Join now for 12 months and receive a FREE $25.00 gift certificate for merchandise in our shoppers guide.
		I certify that the recipient is over 21 years of age.
		Enter Recipients Age. Any information that is false is considered fraudulent.

	Ship To Name:
	Company Name (if applicable):
	Address (no PO boxes please):
	City
	State:
	Zip:
	Home Phone:
	Work Phone:
	Gift Message:
	Gift From:
	Select where to mail our Gift Letter	GiverRecipient
	Starting Month:	ASAP January February March April May June July August September October November December

			The Worldwide Cigar Club
		Monthly Membership $23.95 per month plus shipping and handling (plus taxes where applicable). Please specify number of months:
		Annual Membership $23.95 per month plus shipping and handling (plus taxes where applicable). I'll also receive a FREE Club Cedar Humidor with my 12 month membership.

	Ship To Name:
	Company Name (if applicable):
	Address (no PO boxes please):
	City
	State:
	Zip:
	Home Phone:
	Work Phone:
	Gift Message:
	Gift From:
	Select where to mail our Gift Letter	GiverRecipient
	Starting Month:	ASAP January February March April May June July August September October November December

			The Coffee Tasters Club
		Monthly Membership $18.95 per month plus shipping and handling (plus taxes where applicable). Please specify number of months:
		Annual membership-Join now for 12 months and receive a FREE $25.00 gift certificate for merchandise in our shoppers guide.
	How would you prefer your coffee (select only one): Whole BeanGround

	Ship To Name:
	Company Name (if applicable):
	Address (no PO boxes please):
	City
	State:
	Zip:
	Home Phone:
	Work Phone:
	Gift Message:
	Gift From:
	Select where to mail our Gift Letter	GiverRecipient
	Starting Month:	ASAP January February March April May June July August September October November December

			The Gourmet Pizza Club
		Monthly Membership $29.95 per month plus shipping and handling (plus taxes where applicable). Please specify number of months:
		Annual membership-Join now for 12 months and receive a FREE $25.00 gift certificate for merchandise in our shoppers guide.

	Ship To Name:
	Company Name (if applicable):
	Address (no PO boxes please):
	City
	State:
	Zip:
	Home Phone:
	Work Phone:
	Gift Message:
	Gift From:
	Select where to mail our Gift Letter	GiverRecipient
	Starting Month:	ASAP January February March April May June July August September October November December

			The Heavenly Chocolate Club
		Monthly Membership $19.95 per month plus shipping and handling (plus taxes where applicable). Please specify number of months:
		Annual membership-Join now for 12 months and receive a FREE $25.00 gift certificate for merchandise in our shoppers guide.

	Ship To Name:
	Company Name (if applicable):
	Address (no PO boxes please):
	City
	State:
	Zip:
	Home Phone:
	Work Phone:
	Gift Message:
	Gift From:
	Select where to mail our Gift Letter	GiverRecipient
	Starting Month:	ASAP January February March April May June July August September October November December

By clicking this submit button. I agree that the above information is true and correct. I also agree that the beer or wine receiver is over 21 years of age or the cigar receiver is over 18 years of age. Any information that is false on this order is considered fraudulent by the purchaser. By placing this order I authorize Clubs of America to ACT on my behalf to engage a common carrier to deliver the order for me. Offers are void where prohibited.