Southern Electronics - Discount Tuner Repair Coupon

The first form below is for testing purposes. After completion, it redirects back to this page. Send mail appears to work and returns no errors but no mail.

It currently works and redirects ok but it seems that sendmail is not working. Also trysouthern.com is not yet functioning and I can't access it via the Browser, so I am using the godard.delhi.la.us/html/southern directory.

Email ............:

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To receive a price list check the applicable boxes VIA Net: US Mail:
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Are you a TV Tech?
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Others Other ETech

Email ............:
Company ..........:
Attention .........:
Street ............:
City, State and Zip:
To receive a price list check the applicable boxes	VIA Net: US Mail: Both: None: Are you a TV Tech? Yes No Others Other ETech