Please add me as a supporter of LIST, version 7.6a: Name ______________________________________________________________ Company ______________________________________________________________ Address ______________________________________________________________ ______________________________________________________________ City ________________________________State _______ Zip ____________ Amount $____________________________________ Date _______________ (staple check to bottom of page) Copies _______________ -------------------------------[fold back here]------------------------------- [tape] ------- | place | | stamp | | here | ------- Vernon D. Buerg 139 White Oak Circle Petaluma, CA 94952 ---------------------------------[fold down here]-----------------------------