Max Partner Form2018-05-10T19:48:52+00:00

M.A.X.

Becoming a M.A.X. Partner is easy!
Just fill out this short form below and hit submit!


“Do You” Partner- $10“The Real” Partner- $15“MAX” Partner- $20

As a partner, I agree to have the amount selected drafted on either the 1st or 16th of each month.
1st of the month16th of the month

Credit or Debit Card authorization:
VisaMaster CardAmexDiscover


CVC Number

Please note that the first contribution will be drafted on the immediate next date that you have selected, either the 1st or 16th, and will continue until otherwise requested or until the expiration of the provided card.

*It is understood and agreed that by entering your name on the signature line, it will be recorded as an electronic signature and will be equivalent to a handwritten signature.