Membership Sign-Up

Please fill out the form completely.

* denotes a required field.

$10.00 Annual Membership

$10.00 Total

User Information

*Username:

*Password:

*Confirm Password:

Contact Information

*First Name:

*Last Name:

*Home Phone:

Cell/Work Phone:

*Email Address:

Mailing Address

*Address Line 1:

Address Line 2:

*City:

(If you are entering a U.S. address, you must use the abbreviated state name.)

*State / Province / Region:

*Zip Code:

*Country:

Billing Address

Same as mailing address

*Address Line 1:

Address Line 2:

*City:

(If you are entering a U.S. address, you must use the abbreviated state name.)

*State / Province / Region:

*Zip Code:

*Country:

- OR -

Privacy Policy

When you visit The Imagination Factory, we collect and store the name of the domain, the host from which you accessed our site, and the User Agent. In addition, we count the number of visitors to the different sections in order to learn what projects and features you like. We do not use "cookies," collect personal information, or share what we learn from your visit with third parties. The Imagination Factory is compliant with the Children's Online Privacy Protection Act.

© 2008 Marilyn J. Brackney, All Rights Reserved

Text and images may not be copied
without permission of the author

Return to the Factory