Member Signup / Renewal Form
Please print this form & mail to us at: Coolstreams, Inc, PO Box 509, Gibsonia, PA 15044

For you convenience, you can type in the info below online before printing it 
(it will not be sent or saved anywhere) Or just print it & fill in on paper.

Today's Date
Name
Street address
City
State/Province   ZIP Code: 
Country
E-mail
We send Membership details by email; please include a working email address!

(If already a Member, please give all information above so we can match you in our Member Records)

   

This form is for an ANNUAL or QUARTERLY Subscription. To return to choose again , click here.

 

Special Subscription prices for "FOUNDING MEMBERS" at the 180 Level

1. Select Recurring Billing or One-Time Payment:
 
Please Continue to bill my credit card for the subscription amount automatically
  Please make this a ONE-TIME payment (automatic if paying by check).

2. Select only ONE subscription option below:
Note: The 'radio buttons' below do not print well on some printer types.  Please visually check the form and CIRCLE the option and amount you are paying if it does not print correctly, or if completing by hand!

Programs On-Demand ONLY:

  Annual Subscription:                     $ 14.95   (Includes Free CD Premium)

  Quarterly Subscription:                 $  5.75

MP3 CoolStreams ONLY:

  Annual Subscription:                     $37.70   (Includes Free CD Premium)

  Quarterly Subscription:                 $ 9.60

COMPLETE MEMBERSHIP: Programs On-Demand & CoolStreams:

  Annual Subscription:                     $47.40   (Includes Free CD Premium)

  Quarterly Subscription:                 $12.25

 

To Pay by Credit Card:

 

  • Select credit card type: 
        
  • Enter your Credit Card Number: 
        
  • Expiration Date:     
     
  • 3 Digit Verification Code from BACK of your card (last 3 digits)
        
  • Name exactly as on card:
    Note about DIRECT Credit Card (by mail) transactions: our credit transactions are being provided by another merchant as a service to us, so they will have a different name on your statement.  We will send you that information when you join so that there is no confusion.
  • Credit Card Billing Address - if your Billing address is DIFFERENT than the address you provided above, please check this box below and provide your billing address in the COMMENTS section below

    Credit Card Billing Address Provided Below

 

1. Please type a USER NAME and PASSWORD:

  I am a Renewing Member, Use My Existing Login

User Name (at least 4, max 20 characters):     

Password (at least 4, max 20 characters):       

2. Please tell us the ONE stream, above all others, that you will listen to most:

3. Please check ALL of the streams that you will listen to.  It will help us provide support to our producers.
(If you don't remember a stream by name, clicking the link will open its page in a new window)

5. What do you mainly expect from the streams:

6. Please tell us one or more artists that you expect to hear played:

Comments?  Please tell us how you found Coolstreams.

Please print form & mail to us at: Coolstreams Membership,  Post Office Box 509, Gibsonia, PA 15044
Make checks or money orders payable to: Coolstreams, Inc.
Please allow us up to 10-12 days for a response, though it will typically be 4-6 days, depending on your distance from us.