W. J. Patterson Fan Club Application 




Name:

Birthday: Age:

Address:   City:    State:   Zip:

Gender:   Male   Female

How did you hear about WJPFC?    Internet    TV    Comic Book    Subway Wall    Star Trek Convention     Too embarrassed to say

How Big of a fan are you?    Somewhat    “Fan-atic”    Stalker

Have you ever been convicted of a feloney?   Yes    No    They have not caught me yet

Membership includes:
  1. 12 issues of the monthly new letter, “Patterson’s Pontifications”
  2. 1% discount at the WJPFC online store
  3. 23 x 42 Velvet painting of W.J. Patterson
  4. Officially licensed WJPFC Beanie
I would like:    25 minute free trial membership     6 month membership: $6.42     12 month membership: $11.39 

Payment method:   Master Card:    Visa   Discover    American Express    Pay pal    Beaver Pelts

Card Number:   Expires

WJPFC Sweepstakes:

Describe “Why I am a W. J. Patterson fan” in 436 words or less and you can win a trip to London…Kentucky where you will stay one night at the luxurious Econo Lodge located in the heart of London*.
*Airfare and rental car excluded. Void where prohibited. This offer not valid in Pago Pago and Osh Kosh, WI.


Why I am a W.J. Patterson Fan: