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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