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Tostada Magazine Membership Form
Membership Type
*
Member
Street team
VIP
Amount
*
$5
-
monthly to be a Member
$50
-
annually or one time to be a Member for 1 year
$10
-
monthly for Street Team membership
$99
-
annually or one time for 1 year of Street Team membership
$20
-
monthly for VIP membership
$199
-
annually or one time for 1 year of VIP membership
Donation Schedule
One Time
Monthly
Yearly
Contact Information
Preferred Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Notes