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everything i've tried to send information about my mother has not worked.

please let me know what address i can use to get the info to you.

thanks,

dolores colunga-mortman

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In a message dated 10/12/98 5:58:23 PM Pacific Daylight Time, STMKR@...

writes:

Hi, your email arrived, so just fill out the questions below, and email them

to me. Sorry this is such a pain. I am trying to work out something better,

all these things take time to get going.... Barbara

Here is the submission form. I just copied it from the CJD Watch site and

pasted it into the email:

CJD Victims Profile:

Note: The Victims name is optional, but preferred. The more information for

the victim, the more accurate will be the research.

First name

Last name

Sex

Date of Birth

Date of Death

Length of Illness from first symptom

Type of CJD (If known)

Legal Residence: County & State

Where was victim born and raised?

Country if not USA

Major Surgeries

Dental Surgeries

Travel outside the US

Recipient of Blood

Branch of US Service if applicable

History of Seizures

Use this form to describe the surgeries and/or for Comments:

Please identify and describe yourself, the submitter of this information:

First name

Last name

State

Organization

E-mail

URL

Please email this info to: stacy91434@...

OR you may email to: stacy@...

<< everything i've tried to send information about my mother has not worked.

please let me know what address i can use to get the info to you.

thanks,

dolores colunga-mortman

>>

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