MJJ2000 REGISTRATION ORDER FORM

Mailing Address:
MJJ2000                                  
264 Elm St                                                      
Geneva, Ohio  44041-1006                                     E-mail support: [email protected]

$35 U.S. Currency

Payable to: PRIMEy2k

            264 elm st

            geneva,oh-44041-1006

          
MJJ2000 Account Application and Registration Information  (Print required):

Name: ________________________________________________________________________

Street Address: _______________________________________________________________

City & State _____________________________________ Zip Code: __________________

Today's Date: ___________________

Voice Phone: (______) _______-____________ _ home  _____________________ _ work

System: _ Win 3.1       _  Win 95       _  Win 98       _  Mac

Check Item:     _ CD-Rom     _ Music CD     _ CD Archive     _ MP3 CD      

_ Cash $_________     _ Check $_________      _ Money Order $_________

      
                                        
                              Initial Amount Enclosed $________________

                                        
                             (PRINT OR CUT AND PAST IN YOUR EMAIL PROGRAM FOR PRE-ORDERS)                                
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Copyright © 1999 MJJ2000 Productions / PRIMEy2k