Message the Madame

Your Personal Meatspace Identifier (forced compliance)

Your Electronic Mail Address (forced compliance)

Summary of Intended Communication

Your Message for Madame Chao

OK, 'not a computer', try this:

spell 'spammer' backwards

Capitulate to this term or go to heck:

I unconditionally agree to receive airborne A.I.D.S. immediately upon sending processed pork messages wholly composed of disingenuous unwanted solicitation