Paul Browning
  2819 Thrush Dr.
  Clarksville, TN  37040
Rob Swiatek
10621 John Ayers Dr.
Fairfax, VA   22032-3130


                                                   
---------------------------------------- below is record for shipper -------------------------------------
 Attach USPS receipt/tracking to this form
         
Rob Swiatek
10621 John Ayers Dr.
Fairfax, VA   22032-3130

Node Number
                       122 

Email address swiman@iglide.net
Cell Phone    571-488-4017
Land Line
Latitude
38.8020
Longitude
-77.3192
  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