BECOME A CHARTER MEMBER OF:
THE ALICIA LEIGH WILLIS FAN CLUB

Your 1-year membership includes:

*An 8 X 10 autographed photo (personalized)
*Quarterly newsletter keeping you up to date on what’s going on in Alicia's world
*A personalized card on your birthday from Alicia.
Send this completed form along with a check or money order for US$20 to:

Alicia Alicia Leigh Willis Fan Club
21163 Newport Coast Drive #585
Newport Coast, CA 92657

NAME: __________________________________
ADDRESS: _______________________________
CITY,STATE,ZIP:_________________________
EMAIL ADDRESS: _________________________
BIRTHDAY: ______________________________