1. First Name

We ask for your first name so we know who is sending us the message. We also like to know so than when we send a response, we can address you by your name.

2. E-mail

We want to know your e-mail so we can respond to your submission. That is why this box is required. If you wish for us not to send you an e-mail, than in the e-mail box put noresponse@123.com.

3. Message

We want you to tell us something you think about our site, team members, etc. If you are entering a coupon code, please write in the message box Coupon Code.

4. Coupon Code

If you find a coupon code, type it in this box.

Extended Care Comics™