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Since this website deals with sensitive issues, keep your personal information even more private by using a screen name or pseudonym along with an email addresses that does not personally identify you.
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***IF YOU DO NOT CHECK 'Email Me' BELOW, THEN I WILL NOT BE SENDING YOU FUTURE EMAILS, EVEN IF YOU COMPLETE THE CONFIRMATION PROCESS*** If you do check "Email Me" below, then His Porn. Your Pain. Healed. will use the information you provide on this form to stay in touch with you and to provide updates and marketing. How would you like to hear from me?

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