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To submit new or updated technical contact and/or
IP information, please complete the form below. IP address
information is absolutely necessary for properly setting
up your account.
The information provided becomes public record and is subject
to the Texas
Public Information Act. See the Texas
State Library web policies for more information.
Please provide all pertinent information and remember to submit
your form at the bottom of this page.
* Institution Name:
Mailing Address:
Street Address:
* City:
State:
* Zip:
| (123) 456-7890 or 123-456-7890 |
Telephone (including area code):
| (123) 456-7890 or 123-456-7890 |
Fax (including area code):
* Technical Contact Person:
* Technical Contact E-Mail:
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| Please indicate any IP addresses to be excluded: |
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| Express any comments regarding IP addresses here: |
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getQuestion();
echo 'Please answer the question below before submitting your form.
Answering this question will help ensure that a person, not an automated program, is sending the information on this form.';
echo '* '.$captcha['q'].' ';
echo '
';
?>
* Indicates required information
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