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Description	Required Info		About Domain and Hosting requirements
Your Full Name			My Domain Name (name.com) is:
Business Name			Host my current domain on Hellonet (FREE)   yes  no
Business Address			No Website - I need a nice business listing page
Postal Address			Use this name for the page:
My business location and address is listed below
City or Town			Suburb or Village
Province			Country
Postal Code			Your ID number
Business Phone			Business Fax
Mobile Phone			Valid Email Address
Captcha			Comments
	enter "captcha" number		Hi - Comments or Questions go Here! ....
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