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1. First Name
2. Last Name
3. Email Address
5. Address Line 1
6. Address Line 2
8. State (or Province)
9. Country (USA or write out full name of country)
10. Zip Code or Postal Code
11. Daytime Telephone Number
12. Fax Number
13. URL address of suggested link (example: www.anystore.com/pageaddress)
14. Link goes to what type of website (describe products or services sold)
15. How are you connected to the suggested URL?
I am an employee of the suggested URL
I am an owner of the suggested URL
I am a customer of the suggested URL
16. Describe how the link(s) would be beneficial to Rycraft
17. Would you like to be on our email mailing list?
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