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* required fields
name: * postal code:
address: phone:
city: fax:
province: email: *

questions and comments: *
Enter the security code below: *

Guess the letters and numbers
(passphrase riddle)
--
1 chars before small W
and not a
"N",
but
small 'H' +3 letters
and
small 'C' +3 letters
&
(((((??? - 3) * 2) - 9) - 9) - 4) = -16,
(??? - 3) = 2
followed by