Paul Browning
  2819 Thrush Dr.
  Clarksville, TN  37040

JEREMY HASLAM
738 Billyville Rd.
Woodbine, GA   31569
                                                   
---------------------------------------- below is record for shipper -------------------------------------
 Attach USPS receipt/tracking to this form

JEREMY HASLAM
738 Billyville Rd.
Woodbine, GA   31569

Node Number
         154               

Email address  teamcamden@yahoo.com
Cell Phone    (912) 464-0002
Land Line
Latitude
   30.928529
Longitude
-81.705188
  Application Process Guide: for temporary office use only                                                Date completed
1. PayPal transaction
                   
2. Application/shipping label

3. Updated financial submittal/sales record

4. Email address added to MADAR List

5. Welcome letter to purchaser with set-up instructions

6. Announcent to MADAR List

7. Date shipped