The Beta Journal
Form for Beta Shoppe
Today's Date

Your E-mail

Your Phone Number

Your Address

Your Member Number

Street Address, City, State (Province) Country

Discontinue Item on What Date?

Sellers Name

Sellers Email Address

Name of Item(s) - Don't forget to email a picture of the item being sold to upload

Price of Item with Postage Included

Size of Item (Dimensions)

Describe Item for Buyers (This will be copy and pasted as is onto the website)

Enter the numbers from the image:

Box 52, Wylie, Texas, 75098, United States
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