PLEASE HELP


This is an explanation of the purpose of this form:

    As I said we need help in all areas, and if you have any
experience in those and would like to contribute to our cause
we need you.

    No matter how big or little you can contribute, this is for
helping Men. So if you are interested in helping fill out this form
and I will contact you, more than likely via E-mail.
 sincerely -
Martin Bevis

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

for Security reasons...

Date of birth (ie: 01/01/99)
Sex Male Female

Select any of the following options that apply:

Legal Services
Legal Referral
Legal Links Advisory
Legal Secratary
Web Designer
Web Graphics Designer

I wish to thank you for filling out this form.
This will help me to know you and where
I can use you best.