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our mailing list.
Please Tell Us....
Your Name:_____________________________________________
Address:____________________________________
City:_______________________________________
State/Prov:_________________________________ (if applicable)
Zip/Postal Code:________________________________
Country:__________________________________
Username:________________________
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Membership Length
[_] 1 Month $19.95
[_] 3 Months $54.95
[_] 1 Year $99.95
Payment Type
[_]
Please make your MONEY ORDER payable to Wasteland, Inc. Please include a photocopy of your ID for proof of age
What is Your Email Address ______________________________________________________________________
That's All There is to it!
If you have any questions please call us at 1-603-465-9088 or
e-mail
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Be sure to read the terms and conditions.