Payment Information	Fields in RED MUST be completed!

Complete the billing address only if different from above. I would like to: Pay $25 Monthly by Credit Card — OR — Be Billed $150 Semi-Annually Billing Address City State/Country Zip/Postal Code If you selected to be billed you do NOT need to complete the following Credit Card information below. Name on Card As appears on card Type of Card Visa Mastercard Discover American Express Card Number Expiration Date (MM/YY) (See Below) Card ID Number I agree to allow Keys Adventure Media to take $25 on a monthly basis from the above credit card until I cancel with a 30 day written notice

Here is a sample of how to find your card's ID number:
American Express: 4 digits on front of card	Visa and MasterCard: 3 digits on back of card

	Additional Information	Please give any questions or comments in the field below.

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If for any reason you have difficulties filling out this form, please click here to download the printable registration from and fax it to 954-525-5057 or call us at 954-467-8819 or email submission@tropical-adventure.com.