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- ╧╥─┼╥ ╞╧╥═ -- ╠╧┴─╙╘┴╥ #17
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- ═AIL TO:
- ╠╧┴─╙╘┴╥
- ╨.╧. ┬OX 30007
- ╙HREVEPORT, ╠┴ 71130-0007
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- ╔'M HOOKED! ╠IFE IS NOT WORTH
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- LIVING WITHOUT ╠╧┴─╙╘┴╥. ╔'LL NEVER
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- GET ALONG AGAIN WITHOUT MY MONTHLY
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- FIX.
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- ╙TART MY SUBSCRIPTION YESTERDAY!
- (╧R TODAY AT THE LATEST.)
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- 6 MONTHS FOR $ 39.95 __ (CIRCLE ONE)
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- 12 MONTHS FOR $ 69.95
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- ╧╓┼╥╙┼┴╙ FOR $109.95 (╒╙ CURRENCY)
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- ╬AME:ñññññññññññññññññññññññññññññ
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- ┴DDRESS:ññññññññññññññññññññññññññ
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- ├ITY:ñññññññññññññññññññññññññññññ
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- ╙TATE:ñññññ ┌IP:ññññññññññ
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- ╨HONE #:ññññññññññññññññññññññññññ
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- ├HECK ñññ ╓╔╙┴ ñññ
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- ═/├ ñññ ┴MERICAN ┼XPRESS ñññ
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- ├ARD #:ñññññññññññññññññññññññññññ
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- ┼XP. ─ATE:ññññññññññ
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- ╨LEASE MAKE CHECK OR MONEY ORDER
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- PAYABLE TO ╠╧┴─╙╘┴╥.
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- --------< END OF ORDER FORM >---------
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