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If you couldn't download the lsqc88info.doc file then maybe you can fill this html form up and send it over to awetroque@doctor4u.com. You may just Right-Click on this page and save it in your hard drive. You may send it over as an .html or .doc file.
Name ___________ Surname Given Name Middle Name
Nickname ____________________ Section __________________
Home Address No. Street _______________________________________ __ Village/District ____________________________________________________ City _ ____________________________________________________________ Country & Zip Code ________________________
Home Phone No/s ______________________ Fax Phone No/s _______________ Mobile Phone ________________________ Pager No ____________________ Email Address/es ______________________________________________________ Web Page: ____________________________________________________________
Civil Status ____________________ Wife's Name ____________________ Occupation ____________________ Children ____________________
Employed ( ) Own Business ( ) Company Name ________________________________________________________ Position _______________________ Department _____________________ Business Address No. Street _________________________________________ District ____________________ City________________________________ Country & Zip Code ___________________________________________________ Business Phone No/s _______________ Fax Phone No/s _____________________ Mobile Phone _______________________ Pager No _____________________ Email Address/es _______________________ Web Page _____________________
For those not based in the Philippines
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Send mail to awetroque@doctor4u.com with questions or comments about
this web site.
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