Membership is only $10.00 in the United States, $12.00 in Canada, and $15.00 overseas (U.S. funds only, please). You will receive a membership packet that consists of:

• a fact sheet,
• an autographed 8 X 10 photo of Clinton,
• membership card

Clinton's Fan Club does not accept email or online registration at this time. Simply print this page, fill out the form, and send with your check or money order to:

CLINTON GREGORY Fan Club
c/o Flatwood Studio
P. O. Box  415
Lelsie, GA 31764

Name___________________________________________

Address_______________________________________ Apt_________

City________________________ State_______ Postal (zip)__________

Country_________________

E-Mail____________________

Please allow 4 - 6 weeks for processing.