What is your full birthday? Month/Day/Year, please.
July 19, 1977
How do you describe your "citizenship" status?
u.S. Citizen
Name of your local county.
Pennsylvania
Phone number please. This information is kept private. We do not sell your information.
4847212321
Who referred you? How did you find us?
Online reference
Why are you here? What is our highest priority today?
Freedom
What do you think we can do for you?
Educate me
What are your areas of interest, talent and/or occupation?
Various interests, talents, and occupations.... I can do anything. I am a survivor. Waiting for the benefits and the vacation time to kick in..
Comments
Hi, I have something very vital to disclose to you,.Could you please get back to me on ( mr.jamespollard@aol.com ) for the details.Thanks.
I sent you my number in your email