Submit the info for you super-duper
Spanky's Wine Bar
personal, customized, limited edition,
Liberian govt issued, 99.9% pure silver
leaf, commemorative name badge below

If you don't submit your info by Friday,
August 15th... We will assume that you
don't really care what is on your name
badge... And we will make one for you
with whatever info we see fit
<insert evil laugh here>

After you submit your info, email a
photo of yourself (or any photo you
want on the name badge) to:

jimhillas_gc (at) yahoo (dot) com

If you don't send a photo by 8/15...
guess what...
<insert another evil laugh here>
JimHillas.Org            Spanky's Wine Bar
Your real name (this
will not appear on the
badge):
The name (playa
name, or real name)
you want to appear on
the badge (30
characters max):
Your title, rank or a
quote that you want to
appear below your
name (be creative - 40
characters max):
Your phone number
or email (in case we
have a problem - this
will not appear on the
badge):