Enrollment Form: (just cut and paste)
Name_____________________________________________________
Address:__________________________________________________
City:________________State:_______________Zip:_______________
Phone:_________________________________work#______________
Deposit enclosed:________________________Date:________________
Credit card #_______________________________________________
Expiration Date:_____________________________________________
Mail to: Jim Christie, 11085 NW 113 Street, Chiefland, FL 32626,
352-493-4855,
352-219-8557