~*Apply For My Award*~

You will receive an email informing you if you are successful or not. If you don't hear from me within 4 weeks, that means I didn't receive your application, so please email me!

Please provide the following contact information:

name: (Do not hit return)

Homepage Title:
E-mail:
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GoodLuck !! And don't forget to sign my GuestBook, or you wont be successful *grin*

 

 

If you don't support forms or can't seem to get through, please email me with ALL the information

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If you like my background or teddy divider, go to my graphics page and get your own.

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