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Captive proof giveaway

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* 1. Please select your authority


Library authority	Library authority menu

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* 2. Please select your region


Region	Region menu

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* 3. Please enter your name and delivery address

Name:

Company:

Address 1:

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Post Code

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* 4. How many copies of Captive would you like?

1

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20

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* 5. Please enter your email address

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* 6. Please enter the name of your group

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