The Knife Collectors Club Online Membership Form

A.G. Russell is pleased to announce a new FREE Online Membership (E-Membership) to the Knife Collectors Club, The Worlds Oldest Association of Knife Collectors. E-Members will NOT get CLUB mailings through the U.S. Postal System, they will get e-mail notice, announcing new offers which can be viewed at the KCC World Wide Web Page.

There is no charge for E-Membership and you can unsubscribe at any time.

E-mail notices will be in the form of very brief plain text messages announcing the latest KCC offering only.

First Name:

Last Name:

E-Mail Address:

Street Address:

City/Town:

State/Province:

Zip/Postal Code:

Country:

Weekly E-mail SpecialWould you like a free e-mail membership in the Knife Collectors Club so you can be notified of special knife offers from A. G. Russell each week?

Yes, I would like to join and receive the weekly e-mail special

No, I do not want a free membership in the Knife Collectors Club

How Did You Find Our Web Site?

Other:
Card Deck:

Comments:

'; $thanks = '

Thank You!

We will process yoru subscription as quickly as possible.

'; if ($HTTP_POST_VARS['seenform'] !="y") : print "$form"; else : $firstname = $HTTP_POST_VARS['firstname']; $lastname = $HTTP_POST_VARS['lastname']; $email = $HTTP_POST_VARS['email']; $Street1 = $HTTP_POST_VARS['Street1']; $City = $HTTP_POST_VARS['City']; $State = $HTTP_POST_VARS['State']; $Zip = $HTTP_POST_VARS['Zip']; $Country = $HTTP_POST_VARS['Country']; $promotion = $HTTP_POST_VARS['promotion']; $share = $HTTP_POST_VARS['share']; $source = $HTTP_POST_VARS['source']; $sourceother = $HTTP_POST_VARS['sourceother']; $carddeck = $HTTP_POST_VARS['carddeck']; $comments = $HTTP_POST_VARS['comments']; $internal_recipient = "ag@agrussell.com"; $subject = "K-C-C Subscription: $firstname $lastname"; $message = "$firstname $lastname has subscribed to the Knife Collectors Club:\n\n----------------------- [ Contact Information ] ----------------------\n\nName: $firstname $lastname\nE-Mail: $email\nAddress:\n$Street1\n$City $State $Zip\n$Country\n\nSend E-mail Special: $promotion\n\nSource: $source\nOther Source: $sourceother $carddeck\n\n---------------------------- [ Comments ] ----------------------------\n\n$comments\n\n"; $headers = "From: $name <$email>\nReply-To: $email\n"; mail($internal_recipient, $subject, $message, $headers) or die("Could not send e-mail"); print "$thanks"; endif; ?>

Knife Collectors Club
1920 N 26th St, US 540 Exit 81, Lowell, AR 72745-8989
Local Phone 479-631-0130 Fax 479-631-8493
Copyright � by Knife Collectors Club� 2007. All rights reserved.
http://www.k-c-c.com