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Comments/Questions Form

Your name:
 Your e-mail address:
   
Do you attend any of my classes?
Yes
No 		Which period?
Period 1
Period 2
Period 4
Period 5
Period 8
Tutoring (by appointment)
   
If you have any questions or comments
please write them below:

Mr. Rodríguez' Place: Comments/Questions Form
modified by J. Rodríguez, mr_jrodriguez@yahoo.com,
using Yahoo!GeoCities' HTML Editor, http://www.geocities.com.

April 20, 2003 (updated: September 12, 2003)

URL: http://www.geocities.com/mr_jrodriguez/form.html

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