PERSONAL INFORMATION
(Most information is voluntary)
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Your Salutation/Title: (required) |
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if other, |
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Your Real Name: (required) |
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Your E-mail Address: (required) |
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Your Personal Homepage URL:
(leave off "http://") |
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Your Web Site's Name: |
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Your Gender: |
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Your Mailing Address: |
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Your Mailing Address, Line 2: |
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Your City: |
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Your State/Province: |
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if other, |
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Your Zip Code/Postal Code: |
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Your Country: |
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if other, |
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Your Phone: |
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Your Fax: |
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COMPANY/AGENCY/DEPARTMENTAL INFORMATION
Most information is voluntary
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Company/Agency/Department Name: (required) |
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Company/Agency/Department Homepage URL:
(leave off "http://") |
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Company/Agency/Department Size: |
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if other, |
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Population Served by Company/Agency/Department: |
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if other, |
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Company/Agency/Department Street Address: |
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Company/Agency/Department Street Address, Line 2: |
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Company/Agency/Department City: |
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Company/Agency/Department State/Province: |
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if other, |
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Company/Agency/Department Zip Code/Postal Code: |
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Company/Agency/Department Phone: |
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Company/Agency/Department Fax: |
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A QUICK SURVEY FOR US
All information is voluntary
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Company/Agency/Department has:
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and, if so, do they do entries?
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SWAT Team? |
Yes
No
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. . . does /
doesn't do entries |
ERT Team? |
Yes
No
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. . . does /
doesn't do entries |
Tactical Team? |
Yes
No
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. . . does /
doesn't do entries |
Tactical Narcotics Team? |
Yes
No
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. . . does /
doesn't do entries |
Special Operations Team? |
Yes
No
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. . . does /
doesn't do entries |
Special Services Team? |
Yes
No
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. . . does /
doesn't do entries |
Emergency Services Unit? |
Yes
No
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. . . does /
doesn't do entries |
Narcotics Division? |
Yes
No
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. . . does /
doesn't do entries |
Detective Division? |
Yes
No
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. . . does /
doesn't do entries |
Vice Squad? |
Yes
No
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. . . does /
doesn't do entries |
Road Patrol? |
Yes
No
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. . . does /
doesn't do entries |
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Products you are interested in: |
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Comments: |
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Would you like us to automatically enter you in our Guestbook as well?
Yes.
(The entry would include only your Name, E-Mail, URL, URL Title, City, State, Country and Comments.)
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THANK YOU VERY MUCH FOR YOUR TIME.
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