stuffing envelope Application
 

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

 

First Name:   

Last Name:  

Address:               

City:                 

State:             Zip:

          Phone (optional):

          E mail (optional):

How did you here about us?

 Enclosed is $29.95   (  ) *check    (    )  money order   (  ) cash
*
Personal Checks held 5 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, money order or cash, payable to:            

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


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