Order by mail (Print Form)  

Enter site name here :_________________	Membership Options	Price per Item	Total
Enter site's URL here:  _________________________________	1 month	$14.95	_____
Enter YOUR email address here:  _________________________________
All user information must be filled out.	REQUESTED  USER ID:  _______________	REQUESTED  PASSWORD:  ___________

x_______________ Please sign here 

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Please make Check or Money Orders payable to: Michael Gardner 

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Mail order form to: Interactive Resources P.O. BOX 1024 HARVEY, LA. 70059 ONLY U.S CASH, U.S CHECK and U.S. MONEY ORDERS ACCEPTED