Paul Browning
  2819 Thrush Dr.
  Clarksville, TN  37040

Jorge Landrian
2519 Glacier Court
Wichita, KS 67215

                                                   
---------------------------------------- below is record for shipper -------------------------------------
 Attach USPS receipt/tracking to this form          

Jorge Landrian
2519 Glacier Court
Wichita, KS 67215


Node Number
                        

Email address  Jlandrian7@gmail.co
Cell Phone   316-250-5223
Land Line
Latitude
   37.645800
Longitude
   -97.454290 
  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