Subscription Application Form



WE NO LONGER ACCEPT PAID SUBSCRIPTIONS. PLEASE DO NOT PROCEED ON THIS FORM.

We respect your privacy! The information requested below is needed to process your credit card, which is done with secure encryption through a highly trusted credit card processor (PSiGate). PE Update.com never sees your credit card number & never reveals, shares, or sells member information. For complete details see our Privacy Statement.

Our Guarantee!!

For over 25 years of providing information to physical educators, I've always had the same policy. If you have a problem of any sort, let me know and I'll make it right! That includes refunds when requested.   You can contact me at: [email protected]    Richard Moss, Editor/Publisher

WE NO LONGER ACCEPT SUBSCRIPTIONS!!!

* = Required - Must match credit card billing address!

 First Name [ required ]
 Last Name [ required ]
 Company
 Address Line 1[ required ]
 Address Line 2
 City [ required ]
 State [ US & Canada ]
 State/Province [ All other Countries ]
 Zip/Postal Code [ required ]
 Country [ required ]
 Your E-mail Address [ required ]
 Phone or Fax Number [ required ]

WE NO LONGER ACCEPT NEW SUBSCRIPTONS!

Subscription Plan:

Monthly ($4.95 U.S.) Automatic renewal - your credit card will be charged automatically every month. Cancel anytime by e-mail. No email notice will be sent in advance of expiry.

1 Year ($24.95 U.S.) Not automatically renewed. You will receive an email notice 7 days before expiry.

Choose LOGIN Name [ required ]
Choose PASSWORD [ required ]at least six characters long, using alphas and numbers, no spaces.
Confirm PASSWORD [ required ]

WE NO LONGER ACCEPT NEW SUBSCRIPTONS!

 Payment Method [ required ]
 Credit Card Number [ required ]
 Credit Card Security Code [ required on (MC/Visa/AMEX) ? ]
 Expiration Date [ required ] /
 Name on Credit Card [ required ]
 Is this a Renewal?
 Do you wish to receive email alerts?

<<< Please Check The Box to acknowledge that you have read and understood our terms of use.

NOTE: It can take up to a minute to process the credit card information and obtain approval. Please do not press the submit button multiple times - doing so could cause double billing.
For the protection and privacy of our visitors and customers, as well as the security of the server, suspicious activities on our site are monitored, tracked and reported.