CVMC Membership Contract:
I, ________________________________ (Print your name as it appears on your credit card), have
read, understood and agreed to the following conditions whereas my membership with CVMC is
concerned:
1. That my Visa/Mastercard/American Express credit card
(circle the one that applies), number _______________________ and expiration date ________, has
been charged the $34.99 membership fee and will be charged for any films I decide to rent in the
future plus the shipping and handling fee;
2. That the aforementioned bankcard will be charged for any film I intentionally or
unintentionally destroy (excluding damaged during shipment) or fail to return*, or else my
membership with CVMC will be revoked without refund;
3. That the aforementioned bankcard will be charged $4 per film per day for late fees, or else
my membership with CVMC will be revoked without refund.
Signed, Dated,
_________________________ ______________
(Your Signature Here)
* Film prices vary greatly, can be anywhere from $15 to $180; a general estimate for films
in CVMC?s collection is $50 per film. You will be charged the retail price for any film that is
not returned or which is damaged.
Please check one of the below:
____ I am under 17 years of age.
____ I am 17-20 years of age.
____ I am 21 years of age or older.
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