Millennium Weather Sign-up Form: Print, read the Terms of Agreement, complete form, sign, and return with payment to address shown at the bottom.

TERMS OF AGREEMENT:

ATTENTION: Emergency Service organizations, with prior approval, submit payment amount equal to one Tier lower than requested service level.
ATTENTION: For renewals, only fill in name and any information that has changed; sign, and submit with payment.
ATTENTION: For Tier upgrade, inquire for prorated payment difference then fill in name, sign, and submit with payment.
ATTENTION: Referal discounts will have received prior authorization. Apply discount and make note of it on form.

PLEASE COMPLETE ALL OF THE FOLLOWING INFORMATION: 
Name:
E-mail address:
Telephone number:
Requested account username (for Tier 3, 4 or 5 only):
Requested account password (for Tier 3, 4 or 5 only):
Type of account (Tier 1, 2, 3, 4 or 5):
Referred to by (if applicable):
SIGNATURE*:
*My signature above constitutes full agreement with the Terms Of Agreement. Submit this signed form with payment in full ($25 for Tier 1 service, $40 for Tier 2, $60 for Tier 3, $75 for Tier 4, or $100 for Tier 5). Payment may be made ONLY by check or money order in United States Currency and MUST BE MADE OUT DIRECTLY TO Gary E. Gray. Please allow two weeks from receipt of your form for check clearance (if necessary) and processing. Without a this signed document your service cannot be activated.
Please make check or money order payable to: Gary E. Gray
Please send this form and payment to:
Millennium Weather
c/o Gary E. Gray
P.O. Box 457
Temple Hills, MD 20757