E-Business Card and Personalized Web Page Order Form.

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Order Form for E-Business Card or Personal Web Page
Name:
Email Address:
Please provide your phone number, fax number, and cell phone number if you are going to order an e-business card or want it to appear on your page. Remember, Internet pages are visible to anyone.
Phone Number:
Fax Number:
Cell Phone Number:
Address 1
Street Address:
City:	State:	Zip:
Address 2
Street Address:
City:	State:	Zip:
Type of page
Ebusiness Card Resume Memorial Greeting
Would you like to donate $1 to the following organizations? We promote open source and the donation will not effect your cost for the service.
perl.org joomla.org wordpress.org w3c.org linux.org
Content: This is the content you want to appear on the page. Up to 800 characters.
Notice: Please make sure your email address is correct, because we will send you instructions for forwarding your pictures for the web page.

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