Personal Information

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers have not responded properly in the past. If you think that you have experienced any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: lindalorraine@sbcglobal.net.

Please fill in this information accurately for our records. Inaccuracies will delay the delivery of your order. We promise that this information (or any other information you give us!) will not be used for any other purpose than that intended.

May our tools turn against us if we break this vow.

fname:    

lname:    

street1:  

street2:  

city:     

state:    

postal:   

voice:    

fax:      

fname:    

lname:    

street1:  

street2:  

city:     

state:    

postal:   

---

site design and maintenance by feri.com

Index

Updated 10/14/00 using VirtualNotepad2000Pro