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* required fields
name: * postal code:
address: phone:
city: fax:
province: email: *

questions and comments: *
Enter the security code below: *

Guess the letters and numbers
(passphrase riddle)
--
small 'S' +2 letters
,
3 chars before small V
and not a
"W",
but
(??? - 2) = 7
;
1 chars before small O
followed by
1 chars before small Q,