Please let us know who you are and what you think of your visit to the Diarrhea Memorial Toilet Roll Website so we can inundate you with tasteful requests for money in addition to using your name on petitions to elected officials.

---

     First Name	     Last Name 
 Street Address 
                
           City 
 State/Province 
    Postal Code 
      Day Phone   Evening Phone 
            Fax 
          Email 
      Shoe size 
One word describing your feelings about llamas
                



Comments:


		 I am a full time student
		 I am a part time student
		 I claim to be a student to explain my behavior

		 I am already on the PAPER Project mailing list

		 Please do not exchange my name 
                   (this field will be ignored in 
                    the interests of selling our 
                    mailing list to raise funds)
		

---