BEHIND THE MUCUS PROFILE FORM

CONGRATULATIONS! By finding your way to this page you have satisfied the rigorous requirements for inclusion in the prestigious www.gopherdrool.com Behind the Mucus directory.

Before you go off to some porno site, take a moment to fill out the form below. We want the 411 on F2 so tell all. Truth optional. When you're done, submit your masterpiece by clicking on the "Send Now" button. If you mess up, click on the "D'OH!" button and start over. Loser.

A photo will be included with your listing, if we have one of you on file. If we don't -- or if we do and it's one you don't like -- the Web Dominatrix is thinking of her own "cop hat" picture here -- feel free to send a .jpg or .gif, preferably no larger than 20k, to webdominatrix@gopherdrool.com.

Tips: save or print this page before sending, you know, just in case. Also, use your mouse or the TAB key to move from one response field to the next; hitting ENTER will result in premature e-submission. If that happens, rest then try again in a little while.
 

* = Required field

This is:	My very first time submitting a Behind the Mucus profile EVER An update to my existing profile, so I'll only fill in my name and the fields I want to change; I understand that everything else will remain as it is in my existing profile.
*Name
City/State
E-mail Address
Personal Web Site URL
Tell us about your dysfunctional family status, i.e. spousal unit, offspring, pets, illicit liaisons, etc.
Day Job
SI Debut Week
Who will portray you in Style Invitational: The Motion Picture?

CHECK ALL THAT APPLY:
Won The Style Invitational	Been an Uncle's Pick
Suggested a contest	Been in The Globe and Mail Challenge
Donated a prize	Contributor to Chris White's Top 5 List
Contributed an Ear	Been in Bob Levey's Neologisms column
Won a Blind T-Shirt (what was your forbidden joke?)	Been in NY Mag
Been published (letters to the editor, articles by or about you, etc.): In the Post   Elsewhere

Please describe the above accomplishments in detail:

Describe your finest SI hour (to date)

What else should your adoring public know about you?

We have a Roundtable Bookcorner where we recommend our favorite books, CDs, videos and DVDs. What would you like to recommend? (One title and author/artist per line, please. There is space for your comments in the next box.)

Add your comments on the above recommendations, i.e. "I am the author/artist, shamelessly plugging my work".

Photo Op: Choose one

No photos of me exist -- my face causes the lens to shatter

Graphic sent under separate cover (under 20k, please)

I dare you to use a file photo of me

My photo can be found online at the following location:

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