Manual Order Form

Please fill out this form completely.  If you are registering more than ONE LOCATION, please use a separate form for each. You may enter up to 3 telephone numbers and 3 email addresses for each location.  Please print as legibly as possible!!! The cost is $9.95.

(   ) I already have a WeatherCall account, this is a RENEWAL payment.

First Name:                                                                                  
Last Name:                                                                                  
Street Address:                                                                            
(No Post Office Boxes, Mail Stops, Rural Routes, Farm-to-Market etc.  You must provide a PHYSICAL STREET ADDRESS for our system to locate you).

Mailing Address (if different):                                                        
City:                                                                                             
State:                                  Zip Code:                             

Telephone #1 (Area Code + 7 Digits):                                                
Select Warning types: Tornado ( X ) Severe Thunderstorm (    )

Telephone #2 (Area Code + 7 Digits):                                                
Select Warning types: Tornado ( X ) Severe Thunderstorm (    )

Telephone #3 (Area Code + 7 Digits):                                                
Select Warning types: Tornado ( X ) Severe Thunderstorm (    )

Email Address #1:                                                                             
Select Warning types: Tornado ( X ) Severe Thunderstorm (    ) Flash Flood (    )

Email Address #2:                                                                             
Select Warning types: Tornado ( X ) Severe Thunderstorm (    ) Flash Flood (    )

Email Address #3:                                                                              
Select Warning types: Tornado ( X ) Severe Thunderstorm (    ) Flash Flood (    )

This section will be destroyed after your order is processed. WeatherCall does not retain your payment information.

Choose ONE payment option:

Mail payment to:
WeatherCall P.O. Box 472 Parker, CO  80134
Include a $9.95 Certified Check or Money Order for EACH location you are registering.

Pay by credit card:
Credit Card #:                                                                  
Expiration date:                               
Security Code:                               

The charge on your card will be for $9.95 from PAYPAL *WEATHERCALL*

Thank you for subscribing to WeatherCall!

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