| Show-Me Net Membership Renewal Form |
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Name: ________________________________________________________________
Address: ______________________________________________________________
_______________________________________________________________
Phone: __________________________
E-mail address: ________________________@showme.net
Would you like to receive an e-mail confirmation of your renewal? ___ yes, ___ no
_______$100 for individual account
_______$200 for 3 accounts
| Please send to: | Show-Me Net Inc. PO Box 705 Jackson, MO 63755 |