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MS_z08d6vg.beta test

Participant reimbursment registration

Welcome, and Thank you for participating in our email forwarding beta test.
Please be sure to fill in all information requested at points marked with the red asterix.

Enter your name:

First name: * MI:
Surname (Last Name):*

What is your mailing address:

Address 1: *

Address 2:

City:

State:

ZIP/ Postal Code: *

Country:

Email: *

Age:

Race:

Gender:

Height:

Weight:

Have you ever seen a UFO?: *

Did you only just now realise that this is a Hoax?: *


Last Updated: 3rd of October, 1999