Guest guest Posted September 9, 2001 Report Share Posted September 9, 2001 Hi there.... I am finally getting to rebuilding of Zap•Gallery. Your BIO is missing. Can you please take a few minutes to complete and ship this form? If you have a new picture... (JPG preferred) send it as an attachment to a reply to this note Those of you on the Zap•List... we may/may not have your materials. Ship form and picture ASAP if you want to appear in the ZapGallery. Thanks. Stay well.... Duffey AOL users.... if garbled... go to this URL: http://www.ZapLife.org/galleryform.htm Zapper Gallery Data Form Send picture for use in gallery as an EMail attachment (JPG preferred) to Duffey@... Caption to go with picture for Zapper Gallery: Name Nick Name Excluding medical history, what is your life story? EMail Address [OPTIONAL] Personal WebPage [OPTIONAL] City Country/State Date of Birth Month: Day: Year: 1st ICD Implant Month: Day: Year: ICD Maker Model#4: Implant# Total number of Zaps: Cardiac history leading to ICD implant: Clever Anecdote/Philosophy to share? Date Filed Ignore page you will see after clicking button... It is standard thank-you form when orders are submitted. Copyright © 2001 by Duffey Cybercations Inc Quote Link to comment Share on other sites More sharing options...
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