Saturday, April 18, 2009

SUPPORT AND SPONSER MUKSSA

MUKSSA IS EAGERLY REQUESTING YOU TO SPONSER ITS ACTIVITIES AND PROGRAMMES.
AND YOU ARE RQUESTED TO PUT A COMMENT ON THIS PAGE BELOW;

Add your comments and suggestions, and report broken links on this site. You may include your name and contact if you so wish
I would like to support the MUKSSA

sponsership,support,Comment, suggestion or question (type in the space to your right)

Name:.....................
(First &Last)
Address:......................
City/Town........... (ZIP Code - where applicable) Postal Code - Where applicable
Country: ..........................
Telephone:........................
Fax: ..........................
Email:...............................
I prefer to be contacted using (Choose one)

Email.....Mail Telephone... Fax... Other....... (specify)

If "Other" is chosen above, please specify


Your personal information WILL NOT be submitted to other third parties

WE APPRECIATE THE SERVICE YOU HAVE PROVIDED TO MUKSSA. THANX.

SEND

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