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Fill out all fields that you want you listed


Name:

E-mail to contact you at:

ICQ ?:

Your age:

State to list you in:

City:

What kind of contact are you looking for? (ie. a coven, chat, a teacher...)



Any other info. you want listed with your name





If you experience trouble with the form, e-mail me the appropriate information. If you do not see your information listed within 1 week, e-mail me to see what the hold up is!


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