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Please complete this application, copy, paste and email it to bluemooseloc@yahoo.com
Name_________________________________
Business name______________________________________
Address___________________________________________
City____________________________St_____________zip_________
Phone__________________________email______________________
Type of equipment to be located________________________________
__________________________________________________________
Areas by zip code____________________________________________
__________________________________________________________
Have you read and agreed to our terms as listed on this website. Are you
sending your deposit via paypal or money gram.
_______________________________________ signature (typed signature is accepted)
Date___________________________________ | |
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