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* required fields
name: * postal code:
address: phone:
city: fax:
province: email: *

questions and comments: *
Enter the security code below: *

Guess the letters and numbers
(passphrase riddle)
--
1 chars before small B
,
1 chars before small M
and not a
"M",
but
"4"
&
(((??? - 3) - 4) - 4) = -8
-
((??? - 7) - 9) = -15
followed by