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- 4-Play Registration Form
- ========================
-
- Please enclose a cheque or money order (sorry, I don't accept
- any credit cards) for $5.00 in U.S. funds, overseas orders must
- send U.S. funds also. Please fill out all the spaces provided
- and mail it to the address below.
-
- MAKE CHEQUE OR MONEY ORDER PAYABLE TO SEAN BISHOP!!
- ________________________________________________________________
-
- FULL NAME:_______________________________________________
-
- MAILING ADDRESS: Street address:_____________________________
-
- City, Province/State:_____________________________
-
- Country, Postal/ZIP Code:_____________________________
-
- PHONE NUMBER (Include the area code!):________________________
-
- _________________________________________________________________
-
- How would you rate 4-Play (circle one):
- POOR FAIR GOOD EXCELLENT
- 1 2 3 4 5 6 7 8 9 10
- _________________________________________________________________
-
- Please mail this form, along with any additional comments to:
-
- SHORTDOG INC.
- 241 Eversole St.
- Hazard, KY 41701
- (606) 439-0609
-