registration PAGE
 
 

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:         
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State:           

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

Enclosed is $29.95   (    )  money order   (    ) cash   (    ) *check
*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