65 lines
1.4 KiB
Plaintext
65 lines
1.4 KiB
Plaintext
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PLACE
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________________________________________ STAMP
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HERE
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________________________________________
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________________________________________
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W.H. LAMBDIN
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P.O. BOX 328
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EAST BERNSTADT, KY. 40729
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--------------------------------------FOLD-------------------------------------
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--------------------------------------FOLD-------------------------------------
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NAME: _______________________________________________________
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AGE: ______ DATE OF BIRTH: _______________ DATE: ____________
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[] I WANT ACCESS TO THE ADULT GIF CONFERENCE.
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[] I WANT ACCESS TO THE ADULT ANIMATION CONFERENCE.
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[] I WANT AN UNLIMITED DOWNLOAD RATIO. HERE IS MY $25 GIFT
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BY SIGNING MY NAME BELOW, I AFFIRM THAT I AM 21 YEARS OLD, OR
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OVER. ALL INFORMATION GIVEN IN THIS DOCUMENT IS FACTUAL. W.H.
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LAMBDIN AND SNAPSHOT EXPRESS BBS ARE NOT RESPONSIBLE FOR
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DISTRIBUTING PORNOGRAPHIC MATERIAL TO A MINOR. THIS FORM
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ISN'T VALID IF IT HAS BEEN MODIFIED IN ANY WAY.
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SIGNATURE: __________________________________________________
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