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