ORDER FORM
Renewals or Expired Accounts Click Here
Price (1-year - $34.95; 3-month - $14.95)

Want to give Premium Service a one-week go? It's only $4.95 for the 7-Day Test Drive
See what Premium Service has to offer and then decide if you want to go with a 3-month or 1-year subscription!

INSTRUCTIONS:
Please fill out the electronic form to the best of your knowledge. Usernames can be any length (preferably less than 20 characters), but please avoid using special characters or spaces. The same holds true for passwords. Both the username and password are case-sensitive so remember which letters you capitalize.

Payment in full is required before account is activated. Please - No Refund Requests. If you do not have a forms-capable browser, please e-mail premium@intermatwrestle.com with the required information. Please mail or fax purchase orders to:

InterMat Wrestling
P.O. Box 254
Manheim, PA 17545
Phone: 717-653-8009
Fax: 717-653-8270

Premium Service Agreement...

By filling out this form you agree not to give, loan, or distribute your username and password to anyone else. You also agree to not distribute in any form the Premium Service content. Your service will be disconnected immediately without refund upon failure to abide by this agreement.
 


 
Mailing Information
First Name
Last Name
E-Mail Address
School (if coach) /Organization
Address
City
State
Country
Zip Code
Phone Number
1-Year Subscription Only $34.95 US Dollar
3-Month Subscription Only $14.95 US Dollar
7-DAY TEST DRIVE $4.95 US Dollar
Payment Information
This is a secure order form
MasterCard
VISA
American Express
Purchase Order (fax to 717-653-8270)
Card Number
Expiration Date Month: Year:
Card Holder Name  
3/4 Digit CCV:
Located on the signature stripe on the BACK of your Credit Card
AMEX - 4 digit number at the middle right
 Help
 
Account Information
Please provide a username and password you would like to use to login to InterMat. Remember: upper-case/lower-case matters and no spaces! Minimum of 4 characters. Maximum of 20 characters.
Username
Account Password

Please wait for confirmation before leaving the InterMat website.