NAME: _____________________________________________________________

ADDRESS: _________________________________________________________

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E-MAIL: ____________________________________________________________

TELEPHONE: _______________________________________________________

SPECIALTY: ________________________________________________________

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SPONSOR: _________________________________________________________


ANNUAL DUES- $5.00

MEMBERSHIP INCLUDES:
SIX BI-MONTHLY NEWSLETTERS
SIX TRADE SHOWS PER YEAR!
NEW FRIENDS!

FOR MORE INFORMATION OR TO MAIL THIS APPLICATION, CONTACT:

KENN FLEMMONS
22 LEDGELAWN DR.
LITTLE ROCK, AR 72212
501-221-3976
kflemmons@southernbarter.com