Mojo Gurus
Fan Club Form

Name:

 ______________________________

Address:

 ______________________________

City:

 ______________________________

State:

 ______________________________

ZIP:

 ______________________________

Email:

 ______________________________

Credit Card Type:

 Visa / MasterCard

Credit Card Number:

 ______________________________

Expiration Date:

 ______________________________
Print this form and mail it with your check or money order* ($10.00+shipping¹)
made payable to The Mojo Guru:

Brett Steele
Steele Management
7002 124th Terrace N.
Largo, FL 33773

Please allow 4 - 6 weeks for delivery.  Longer for international orders.

¹ All orders in the U.S. and Canada add $3.00, foreign residents add $4.00 for
shipping and handling.

*if not paying by credit card.