The DML G-Tech Pro Signup Form

    Please give me your name & street address so I'll know who the 
G-tech should be shipped to, and your e-mail address in case I need to
contact you for some reason.
  


          Name: _________________________________________________



Street Address: _________________________________________________



                _________________________________________________



                _________________________________________________





E-mail address: _________________________________________________


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   Just to be sure we're on the same page, here is the description as to how 
this whole deal works...  Its quite simple really; for a $5 donation to the 
DML, you may "rent" the DML G-tech Pro for a period of 2 weeks.  The person
ahead of you on the list will mail you the G-tech.  When you receive it, you
may use it for a period of 2 weeks, then you must forward it on to the next
person in the list.  Two weeks is the maxium amount of time available for a 
single "rental".  If you'd like the G-tech for more time, you'll need to 
go through the process again; donate another $5, and add yourself to the 
bottom of the list again to wait for another 2 week session.  Please indicate 
that you understand and agree to this by signing below.  Thanks!


Please mail this form along with
your $5 or greater donation to:

Jon Steiger                             ________________________________________
836 King Road
Forestville, NY  14062