Kleopatra's Membership Form
The Specialist in HairWeaving and Permanent Make-up.
Beautifying women & men around the world.

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Date: ____/____/____


Name: _______________________________________________________

Address: ______________________________________________________

City, State: ____________________________________________________

Zip: ______________

Telephone: ____-______-______

E-mail: _______________________________________________________

Subscription term: (select one)

Monthly ___
3 Months ___
6 Months ___
1 Year ___

_______________________________________________________________

Send your enrollment form via e-mail, or Postal Mail to kleopatrasecrets@msn.com
This will notify us of your membership once we receive your membership fee. You will then be an
offical member, and start receiving your benefits.

Congratulations
Welcome To Our Club!
You Are Now A Kleopatra's Secret Member