e-mail - you can copy and paste this application into an e-mail to Jim at troutdadd@aol.com
print - return this application by mail or Fax 842-6668
or take to my wife's office 901 Kentucky suite 202, open M-F 8am to 5pm
Jim Slough
P.O. Box 763
Lawrence, Ks 66044
785-979-9120