PLACE ________________________________________ STAMP HERE ________________________________________ ________________________________________ W.H. LAMBDIN P.O. BOX 328 EAST BERNSTADT, KY. 40729 --------------------------------------FOLD------------------------------------- --------------------------------------FOLD------------------------------------- NAME: _______________________________________________________ AGE: ______ DATE OF BIRTH: _______________ DATE: ____________ [] I WANT ACCESS TO THE ADULT GIF CONFERENCE. [] I WANT ACCESS TO THE ADULT ANIMATION CONFERENCE. [] I WANT AN UNLIMITED DOWNLOAD RATIO. HERE IS MY $25 GIFT BY SIGNING MY NAME BELOW, I AFFIRM THAT I AM 21 YEARS OLD, OR OVER. ALL INFORMATION GIVEN IN THIS DOCUMENT IS FACTUAL. W.H. LAMBDIN AND SNAPSHOT EXPRESS BBS ARE NOT RESPONSIBLE FOR DISTRIBUTING PORNOGRAPHIC MATERIAL TO A MINOR. THIS FORM ISN'T VALID IF IT HAS BEEN MODIFIED IN ANY WAY. SIGNATURE: __________________________________________________