NOTE: PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING IT OR IF YOU PLAN TO SEND IN A CHECK FOR THE MEMBERSHIP FEE.

If this form is not functioning properly, Call (940) 464-3141

ENROLL OUR CHURCH/ORGANIZATION IN THE

ANNUAL IMAGE & PRODUCTION CLUB

IMPORTANT NOTE: Club Discounts of 10% applies to purchases of CURRENT Seasonal Musical Image Sets or PowerPoint Shows. 50% Discount applies to ALL PREVIOUS Seasonal Image Sets and Musicals. Once you have ordered an Image Set or PowerPoint Show for a musical, you can also use your Club Membership to "Update" or add images to your set. Your Club Membership is designed to allow you access to our entire library of images to design your own musical, song, image presentation or illustrated sermon.

FREE ASSISTANCE AVAILABLE: You can contact us at any time to assist you in musical, song or image selections and then order your products(s) using your Club Discount. Please Call Customer Service using the following Number: (940) 464-3141

Your MEMBERSHIP entitles you to the following DISCOUNTS / SERVICES:

 $149.95 Annual Fee (Special for Current Customers Only - $99.95)   Access Over 10,000 Images, 300 Special Effects & Over 500 Shows
  $1.00 Digital Images (Reg. $6 - $2) -SAVE Up to 85%

  Minimum Order 5 Images or $5.00
  50% Discount - ALL 2008 or Earlier Image Sets or PowerPoint Shows   Over 500 From Which To Choose (Christmas/Easter/Patriotic/Non-Seasonal)
  50% Discount - All Image Sets for Songs or Anthems   1000's From Which To Choose
  25% Discount - ALL Special Effects   Over 300 From Which To Choose
  10% Discount - ALL Current Seasonal Musicals   New Christmas 2009 Musicals - Image Sets & PowerPoint Shows
  10% Discount - Custom Orders or Complete Productions   Let Us Design a Complete Production From Your Selected Music
  Free CD Image Catalog (Upon Request)   10,000 Images / 300 Special Effects / Build Effects
  Free Replacement Service for Lost Shows/Production Guides   Reg. $50 - Free to Members Only
  Free Image Selection/Suggestion Service   MUST Call Customer Service at (940) 464-3141
  $99.95 Annual Renewal (Pro-Rated)   EVERY JANUARY Pro-Rated by month joined previous year

PLEASE COMPLETE THE FOLLOWING INFORMATION:

Please describe your position in a Church or Christian Organization
  Pastor
  Associate Pastor
  Music Minster
  Staff Member
  Non-Profit Organization Director or Trustee
  Other (describe:)

Complete the Following REQUIRED Information about You and Your Church or Organization:
NOTE: REQUIRED FIELDS * MUST be completed to process this form and become a Member.
If the field does not apply, type N/A in the field. If form does not disappear after submission, the form has not been completed properly:

  Enrolling Agent & ID* Name & ID # of CBN Agent enrolling You (if any)
  Your Name* Authorized Contact Person (unless specified at bottom)
  Church Name or Organization*
  Mailing Address*
  City*
  State* Example: TX, not Texas 
  Zip Code*  
  Phone Number*
 Example: xxx-xxx-xxxx
  Email Address*

Click Here To APPROVE Email Specials Limited to Sales & Specials From Christian Images & Productions Only (Lists are NEVER shared or sold)

  Church Website URL

  Pay Our Annual Membership Fee: (Choose Payment Type)

Credit Card (Complete CC fields below) Check (leave CC fields below unchanged)

  Card Type
  Cardholder Name
  Card Number
(no dashes)
  Expiration Date
  Card Validation Code
 (last 3 digits on signature panel - Visa/MC only)
 
  Name of Person* who will Authorize and Maintain Your relationship with Christian Images & Productions. This is REQUIRED to become a Member
  Phone Number of Authorizing Person*

UPON COMPLETION VIA INTERNET, YOU WILL BE SENT A MEMBERSHIP NUMBER BY WHICH YOU WILL PLACE YOUR ORDER(S). ALLOW 3-5 DAYS FOR MAILED APPLICATIONS.

SPECIAL NOTE: ORDERS CAN BE PLACED IMMEDIATELY, USING THE ORDER FORM AVAILABLE AS PART OF EACH IMAGE LIBRARY ON THE HOME PAGE. ON THE ORDER FORM, JUST TYPE "ENROLLED ONLINE" IN THE MEMBERSHIP NUMBER SPACE.

IMPORTANT: PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING IT

COMPLETE ENROLLMENT BY CLICKING HERE: OR:

Telephone Sign-Up is available by calling: (940) 464-3141 or 800-451-2911 or faxing to: (940) 240-1229

A PRINTED COPY OF THIS FORM, ALONG WITH A CHECK, CAN BE MAILED TO:
Christian Images & Productions • P.O. Box 996 • Argyle, TX 76226