Please type your contact information in the provided form.
 1st Membership "Primary"
* Email to send Password to:     Required *
* First Name to go on Card:
* Last Name to go on Card:
* Address to U.S. Mail Card to:
* City:
* State: * Zip:  
 2nd Membership
Use same email as "Primary" If not complete below.
Email to send Password to:
* First Name to go on Card:
* Last Name to go on Card:
Use same address as "Primary" If not complete below.
Address to U.S. Mail Card to:
City:
State: Zip:
 3rd Membership
Use same email as "Primary" If not complete below.
Email to send Password to:
* First Name to go on Card:
* Last Name to go on Card:
Use same address as "Primary" If not complete below.
Address to U.S. Mail Card to:
City:
State: Zip:  

Please print this form and included Check or Money Order payable to BuddysLot for the amount of $50.00
Once form is received, membership card will be U.S. Mailed
and username/password will be e-mailed within 48 hours.         


Send to: BuddysLot.com
P.O. Box 1964
Fountain Inn, SC 29644


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