All fields required. You must use your complete first 
	and last name which will also be your login name. 

	No nicknames or abbreviations will be accepted.

	First Name:    		
	Last Name:    		
	Password:		
	Full Email Address:	
	Street Address:		
	    City:		    	
	State:			
	Zip Code:		
	Cell Number:
 
The 4 payment options are : 
1. Send $100 check to me @ 117 N Handley, Wichita, KS 67201.
2. Hand deliver $100 check to my office @ 117 N Handley, Wichita, KS 67202.
3. Pay by credit card using PayPal link below. $3.50 PayPal Transaction Fee will be applied. 
   You can also transfer the funds to dfarris@hzflaw.com to avoid the fee.
4. Pay via Venmo sent to me at David-Farris-1.
Venmo
PayPal