The List Membership Activation!

Please complete the form below to activate your List Membership! 
You will recieve an email confirmation once your membership has begun. 

All fields marked with '*' denotes mandatory fields
Please enter your first and last name.
Please enter your street name.
Please enter your city, state and zipcode.
Please enter your phone number including area code.
Please enter your email address.
Please enter the full activation number that can be found on the back of your gift of membership card.