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Pay By Check

Please print and fill out the form below and mail it to:

    RWallace Consulting, LLC
    c/o MSY Registration
    1141 North Loop 1604 East
    Suite 105, PMB 300
    San Antonio, Texas  78232

Please enclose a check made out to "RWallace Consulting, LLC" for the amount of $10.00 (USD).

First Name

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Last Name

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Address

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City, St, Zip

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Phone

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Email

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User Name

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Availablity of Funds: Returned checks will be assesed a fee of $25.00 .