
Instructions for payment by check:
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(1) Please fill out this form. (2) Print it by right clicking on the form. Click PRINT (3) Enclose a check for $60.00
(3) Mail form and payment to: |
| Full Domain Name www. | |
| First Name | |
| Last Name | |
| Organization | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Country | |
| Phone Contact | |
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DISCLAIMER:
Accounts will be established on a good faith bases when check is received.
If check will not clear, then the account will be suspended until
funds are secured. Invoices are due upon receipt.
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