Online Courtesy Subscription Form

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Palms Portal

How To Subscribe ----- Email Dr. Palms

You may use Palms' Portal freely. Please note that all material is copyright and may not be used in commercial products or advertising material without the permission of Dr. Palms. AS A COURTESY TO DR. PALMS, we would appreciate your filling out the form below

To become a paid subscriber, or to use Dr. Palms' consulting time for the first time, please go to the ORDER FORM. For our terms and conditions and information about how to submit your order, please see How To Subscribe.

TO CHECK OUT WHY YOU SHOULD BECOME A PAID SUBSCRIBER - CLICK HERE

Hint: You can use the mouse to click into the blank area and you can use the tab key to move from blank to blank.

IF YOU ARE REGISTERING YOUR FREE SUBSCRIPTION TO PALMS' PORTAL, PLEASE FILL OUT THE FOLLOWING IN AS MUCH DETAIL AS YOU DESIRE (at least the three top items).

<<<Your Name

<<<Your Email Address

<<<Your Company Name (if applicable)

<<<Your Street Address

<<<Your City

<<<Your State/Province

<<<Your Country

<<<Your Zip Mail Code

<<<Your Regular Day Phone

<<<Your Evening Or Alternative Phone Name (if applicable)

<<<Your Beeper Number (if you really really want to be reached)

<<<Your Fax Number (if applicable)

Click this button to transmit your order. Or, to erase all input , click and then retype your order.

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Palms & Company, Inc.: Harbor Lights Building, 515 Lake Street South, Kirkland, WA 98033; http://www.aa.net/~russia
fone: 1-425-828-6774 - fax: 1-425-827-5528
Copyright 1995-1996, Palms and Company, Inc.; all rights reserved; email: russia@aa.net
Last Revision: 9/26/96

Vounteers wanted to translate any of these pages into Russian. See link for instructions.

Created and maintained by MetaSyn Media email: mwm@aa.net