Net Dummy Award Request Form

The information you provide on this form will be used to personalize and send your Net Dummy Award by e-mail. It will also be used for your entry in the Net Dummies Hall of Fame except for your e-mail addy which will be kept private upon request.
If you want your e-mail kept private or have other comments you do not want shown in the Hall of Fame SEND THEM HERE. Then continue with the form below.

Dummy's Name:
(First name or nick for name tag)

Email Address:
(will remain private if requested)

Homepage Title:
(If you have one that works)

Homepage URL:
(If you want it linked from the Hall of Fame.)

Your Qualifications:
(Please explain why you feel you qualify for this fine award)

Apply for your Award