Southwest Nebraska List
Entry Form
In order to be added to the Southwest Nebraska List of ICQ members you may send an E-MAIL or a message to the ListMaster or fill out the form below. Either way, it is best to include as much information as possible, even though all entries are optional (except ICQ#). You may use the same simple procedures if you are already included and like to have some changes or additions made.

Real Name:

Nickname:

ICQ#(UIN):

E-mail:

Remarks:

Homepage Title:

URL:

Location:

Other Information:

Reminder: All information is optional, except for the ICQ# (UIN), of course. However, the more information you give, the more likely it is that someone likes to contact you. After all, it is my believe that we here in Nebraska are more than just names and numbers, we are some interesting people.
Before sending this form check again if all information is entered correctly.
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