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Sample Add-a-Fax

Anyone in your city can create an online fax form just like this one.

See how easy it is: Click here to view an example of how to create an Add-a-Fax.

Simply type an explanatory paragraph like this one, along with a fax number and you're done! When visitors click the "Send This Fax" button, the form is faxed to the fax number you have selected.

You can use a fax form to conduct neighborhood surveys, as an online signup form, or you can start a fax campaign to lobby an elected official. It's completely free! We encourage everyone to use to this great new tool!


This form will be faxed directly to 999-888-7777.

Please, fill out this form and click on 'Send This Fax'.

Your name:
Your telephone number:
Your street address:
Your email address:
Your fax number:


Type your message here.







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