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(As you'd like it to appear)

We only ask for your email address so we can communicate with you. We will not share your email address with anyone

ex: http://www.mysite.com

Your logo must be in either jpeg or gif format, 72 dpi, and RGB color mode.

Please list the URL of the web page on your site where you have placed a link to our site (http://www.daytonahelmets.com)

(Enter the numbers in the box above, required)