GENWiki

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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: __________________________________________________