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YOUR EASY REPLY FORM
RECEIVE FREE ANNOUNCEMENTS

SECTION A - YOUR ADDRESS

Step 1- Please enter your mailing information for our guest book. 
   Real Name
   Company  
   Address  
   City        State 
   Zipcode     Country 
   Phone         Fax 
   Best Time To Contact You  
   Email     -- Required
   ** Email Address Is a Required Entry. **

Step 2- How did you Hear of our Web Page and Where did you Link From? (Required)

Step 3- To serve you better, Please tell us Why you viewed our Web Page? (Required)

Step 4- We are Listening To YOU. Please address any questions you have here.

Step 5- Please check one or more.
Please have a representative CALL ME. (Give best time in Step 4 above.)
I would like to receive notice of NEW PRODUCT RELEASES in the future.
I would like information on your WHOLESALE BUYER PROGRAM.
Please send me a FREE BROCHURE and Product Information.
Please enter me in your companys CONTEST.

SECTION B - YOUR STATISTICS

Optional Steps: Please Help Us Serve You Better. ALL Kept Confidential. Thank You.
My Age Is: Under 20 20 to 29 30 to 39 40 to 49 50 to 59 Over 59.
My Health Is: Good Fair In Need Of Help I Dont Care.
I am: Single Married.
I Use The Internet: Daily Weekly Monthly First Time.
I Purchase Items Using The Internet: Daily Weekly Monthly Never Once Before.

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We try hard to answer all incoming email within one business day, but sometimes there aren't enough hours in the day. To expedite a response to your message, make sure this form is filled out completely and double check your email address. This will make it easier to route your message to the right person for a reply. Thank you.

You may also CALL or MAIL us with your questions and requests.
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Mail: MAJOR COMMUNICATIONS
104 - 6th Street - WWW
Broderick CA 95605-2706 USA

Call:(916)373-0505

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