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REGISTER
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1993-03-26
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Please enclose an addressed, stamped envelope with your order.
REGISTRATION FORM VIP-54
Send $10. US currency
Your name _______________________________________________________
Address _______________________________________________________
City, State, Zip ______________________________________________
Company name ___________________________________________________
Phone number (____) _____________________
Where did you obtain VIP ? ______________________________________
Enter the name below EXACTLY as you want it registered
Name > _______________________________________________________
(case sensitive) (24 character limit)
Mail to:
AL RICHARDS
5201 ASH
SHAWNEE MISSION, KANSAS USA.
66205-2114
Please add any comments below ( good or bad )