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Text File  |  1994-06-13  |  1KB  |  39 lines
  1.   
  2.                                 DYANNA LAUREN 
  3.                        (California Beauties Covergirl)
  4.                        FAN CLUB MEMBERSHIP APPLICATION
  5.            21755 Ventura Blvd., Suite 334, Woodland Hills, CA 91364
  6.  
  7.  
  8. Along with all the other advantages of being a DYANNA LAUREN FAN CLUB member,
  9. you will receive an 8 X 10 autographed picture and an autographed movie flyer.
  10. Just for joining today, you will receive all this for the low membership fee 
  11. of $ 20.00.  So act now!
  12.  
  13.                         PLEASE FILL OUT THE FORM BELOW
  14.                                 (PLEASE PRINT)
  15.  
  16. Name: ________________________________________________________________________
  17.  
  18.  
  19. Address: _____________________________________________________________________
  20.  
  21.  
  22. City: _____________________________  State: _________  Country:_______________
  23.  
  24.  
  25. Zip Code: ________________           Birth Date: _____________________________
  26.  
  27.  
  28. Hobbies: _____________________________________________________________________
  29.  
  30.  
  31. Interests or Fantasies: ______________________________________________________
  32.  
  33.  
  34.              *** ALL MEMBERS MUST BE AT LEAST 18 YEARS OF AGE ***
  35.  
  36.       MONEY ORDERS / CERTIFIED CHECKS ONLY PLEASE / CASH SENT AT OWN RISK
  37.  
  38.                    Please send to the address listed above.
  39.