SUBMISSION FORM
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SUBMISSION FORM
Please complete the following form, then press the "Send Form" button at the bottom. If you wish, you can instead print the form and send it with you payment. That's all.
Contact Name:
Company Name:
Address:
City:
State:
*Other
Alabama
Alaska
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
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Maryland
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West Virginia
Wisconsin
Wyoming
Country:
Country, required if State/Province is "Other"
Zip:
E-Mail Address:
Phone:
Fax:
Please Make Your Check or M/O for the amount of $29.95 to:
Peter Kantch
1 CLAUSS CT, Suite 3C
Sacramento, CA 95820
Please add $15.00 for postage for all shipping addresses outside the United States. You can pay with International Checks too.