Specials Order Form

3 Months for FREE! No spammers, please *sending limit 1200 monthly messages add up to 500 subscribers

Name*
First Last
Email*
Company Name (if applicable)
Website

Enter the URL of your website
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
List Type*
- Moderated Discussion List
- Not Moderated Discussion List
Moderated: All list members may send email to the list. If members reply to the message, their responses will go to the list. Messages sent to the list must be moderated by an administrator.

Not Moderated: These lists function exactly like moderated discussion lists, with the exception that no moderation is required.
List Name*

Single word name for this mailing list (for example, "jazztalk"). Since this name will determine the list's email address (e.g.,"[email protected]"), we recommend you limit it to fewer than 15 characters. Use only lower-case alphanumeric characters (a-z, 0-9), hyphens (-),or underscores ( _ ). Do not use spaces.
List Description*

A very short description of the mailing list. This description will be visible to users. Also, when email goes out from the group, this description will be in the Reply To: header of the email message. Do not use any commas in your description.
List Admin(s)*
Name and Email address of the administrator for this list. If you want multiple list administrators, enter one per line.
Site Admin(s)*
Name and Email address of the administrator for this site. If you want multiple site administrators, enter one per line.
Comments/Special Instructions
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Specials Order Form

Specials Order Form

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