Our Doll Family

Collectors’ Club

Toddler Level Membership Application

❑ New Member       ❑ Renewal	Select Skin Tone: ❑ Light  ❑ Ethnic
Name	Face, hair color and eye color will vary
Address
City State Zip
Country
E-mail
Daytime Phone (         )
Member ID#	(for renewal only)
❑ This is a Gift Membership
Please share the warmth of OUR DOLL FAMILY with the special person above.
Gift Giver's Name
Address
City State Zip
Country
Daytime Phone (         )
Enclosed is my       ❑ Check       ❑ Money Order
for members dues of $100.00, payable to Middleton Doll.
Note: Please pay in U.S. funds. An additional $15.00 shipping & handling charge will be added to orders outside the US.
-OR-
Please charge my membership dues to my:
❑ MasterCard       ❑ Visa       ❑ Discover
Account No.
Exp. Date (MM/YYYY)
Signature
Mail to: Our Doll Family Collectors' Club Middleton Doll 2400 Corporate Exchange Dr. #220 Columbus, OH 43231
Fax to: Our Doll Family 614-901-0517