formhouse.jpg (4851 bytes) JAKE'S BODEGA
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formhouse.jpg (4851 bytes)
YOUR INFORMATION
Name
E-mail
Age Sex  female male
Country State City
Occupation
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Hobbies/Interests
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Favorite Colors
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YOUR COMPUTER'S INFORMATION
Modem's speed
Resoultion
HOMEPAGE QUESTIONS
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Favorite Page
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Comments and Suggestions