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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)
--
((??? - 3) * 2) = 4
and then
(??? * 1) = 3;
2 chars before small G
,
((??? - 10) / 2) = -0.5;
small 'O' +1 letters
,