Passion Fruit
Membership Application
"Membership has it's privileges!"
* Please complete all fields to ensure accurate and prompt processing. After
submitting this form,
you will be able to select from our membership options
and submit your membership fee online
via our secure payment processing.  
*The password
will be used to
access account
info and to place
phone orders.
Based on client
response, we are now
offering the option to
pay your membership
fee by personal or
business check.
Simply, submit this
completed application
online and mail your
check, payable to
"Passion Fruit" to
318 South Elm Street,
G-boro, NC 27401.
Please be sure to
indicate on the check
which membership
level you prefer.

Please allow up to
10 business days for
processing. You will
receive your card
within 3 business days
after the check has
cleared the bank.
* If any particular is not applicable, please simply enter "NA" in that field.
*You may add one authorized user. They do not have to be a relative.   
We are proud to announce that we are no longer restricted to
PayPal payment processing only. We offer our own payment
processing via our Corporate Merchant One Account.
You will re-directed to first select from our membership
options
and then access the appropriate link
to s
ubmit your membership fee online .
If you do not submit your fee nor select a membership level,
your application will not be processed.