1200weekly  registration APPLICATION 

Please fill out FORM and click print. If you do not have a printer you may
hand write
this application providing the information requested.

First Name:         
Last Name:  

Phone (optional):    
E mail  (optional):     
How did you here about us? 

Enclosed is $29.95    *check     cash     money order  
*Personal Checks held 7 Days

By participating, I hereby certify that I am age 18 or older, and that I have read and understand the
contents of this website.  I understand that this one time non-refundable processing fee covers not
only my first parcel, but every parcel thereafter received from 1200weekly.com.

signature: ____________________  date: ________  


Print this page and mail it with check, cash, or money-order payable to:            

J Spruce
P.O. Box 202356
Cleveland, OH 44120

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