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We thank you for your entry. Try to NOT use any special characters such as those utilizing your shift key for characters above the numeric keys. This makes it easier for our computer to translate. Please fill out this form as completely as you can. Click on the SUBMIT button at the bottom when done. It is necessary to ONLY click on this key ONCE! When your computer finishes transmitting the data, click on the BACK button to return to the Main Page.

Your Name, E-mail address and Phone: (for verification if necessary)
Name :
Mailto:
Phone :
Name of Your Site:
Description of product/service: (240 character maximum please)
Select Class of product:
URL (Internet Address)HTTP://

We will review your site whilst we wait for your check.
Once received, we will get you submitted as you requested.

The WWWeb Factory
2283 River Valley Place
Fort Mohave, AZ 86426

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These pages are developed by J. R. Beaman - Web Master at - The WWWeb Factory
On-Line July 4th, 1996 - © All Rights Reserved - Member HTML Writers Guild
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