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

questions and comments: *
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Guess the letters and numbers
(passphrase riddle)
--
small 'V' +1 letters
and
0 chars before small U
and
((??? * 5) - 4) = 6
and then
small 'N' +2 letters
and then
1 chars before small Y
and then