Lancaster Area Bulletin Board (LABB)
                         Jerry Shenk, Sysop
Date ___________________   (717) 392-1794
                                 394-9150 (voice)

            S U B S C R I P T I O N   O R D E R   M A I L E R


First Name _______________________Last Name  _____________________________

Street Address _________________________________________________

City or Town __________________________________________________

State ____________________  Zip Code _______________________

Mailing address (if different from the above)

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YOUR LOGON PASSWORD ___________________ (8 characters max.)

HAVE YOU LOGGED ONTO LABB YET? __________________

VOICE TELEPHONE NUMBER (______) ________-____________

DATA TELEPHONE NUMBER  (______) ________-____________

        TYPE OF SUBSCRIPTION:

( ) $55 - Full access for 1 year/90 minutes per day with printout
( ) $45 - Full access for 1 year/90 minutes per day without printout
( ) $15 - Full access for 3 months/90 minutes per day without printout


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EXPIRATION DATE _________ Signature _________________________________

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________________________________________                             Place

________________________________________                             Stamp

________________________________________                             Here

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                        TO:
                                Jerry Shenk
                                2596 Old Phila. Pike
                                Bird-in-Hand, PA 17505