зеркало из https://github.com/mozilla/gecko-dev.git
467 строки
16 KiB
HTML
467 строки
16 KiB
HTML
<html>
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<body bgcolor="#000000" marginheight="0" marginwidth="0"
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leftmargin="0" topmargin="0" vlink="#000000">
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<form>
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<br>
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<center>
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<table border="0" width="99%" cellspacing="0" cellpadding=
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"0" align="CENTER" bgcolor="#FFFFFF">
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<tr>
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<td> </td>
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<td colspan="3">
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<table width="100%" border="0" cellpadding="0"
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cellspacing="0" align="CENTER" valign="TOP">
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<tr>
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<td>
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<table border="0" width="100%" cellspacing="0"
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cellpadding="3" align="center" bgcolor=
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"#CCCCCC">
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<tr>
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class="body"><b>Your First
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Name</b></span> </td>
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<td colspan="1" valign="TOP">
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<input type="TEXT" name="Name.First" size="15"
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maxlength="30" value=""> <br>
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<input type="HIDDEN" name="QArray"
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value="1"> </td>
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<!-- Begin qcolspan_pad_right.inc -->
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<td colspan="2" valign="TOP"> </td>
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</tr>
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<!-- End qcolspan_pad_right.inc -->
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<!-- end type1.inc -->
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<!-- Begin type1.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 4 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<tr>
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class="body"><b>Your Last
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Name</b></span> </td>
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<td colspan="1" valign="TOP">
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<input type="TEXT" name="Name.Last" size="15"
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maxlength="30" value=""> <br>
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<input type="HIDDEN" name="QArray"
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value="2"> </td>
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<!-- Begin qcolspan_pad_right.inc -->
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<td colspan="2" valign="TOP"> </td>
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</tr>
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<!-- End qcolspan_pad_right.inc -->
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<!-- end type1.inc -->
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<!-- Begin type1.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 6 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<tr>
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class="body"><b>
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Address</b></span> </td>
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<td colspan="3" valign="TOP">
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<input type="TEXT" name="Home.Street.Line1" size="35"
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maxlength="50" value=""> <br>
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<input type="HIDDEN" name="QArray"
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value="4"> <font
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size="-1" color="#2A1A64">If applicable,
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please include your apartment/suite
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number.</font> </td>
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<!-- Begin qcolspan_pad_right.inc -->
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</tr>
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<!-- End qcolspan_pad_right.inc -->
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<!-- end type1.inc -->
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<!-- Begin type1.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 2 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<tr>
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class="body"><b>
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City</b></span> </td>
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<td colspan="1" valign="TOP">
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<input type="TEXT" name="Home.City" size="20"
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maxlength="35" value=""> <br>
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<input type="HIDDEN" name="QArray"
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value="6"> </td>
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<!-- Begin qcolspan_pad_right.inc -->
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<!-- End qcolspan_pad_right.inc -->
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<!-- end type1.inc -->
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<!-- Begin type2.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 3 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class=
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"body"><b>State</b></span></font> </td>
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<td colspan="1" valign="TOP">
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<input type="HIDDEN" name="QArray" value=
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"8"> <select name="Home.State">
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<option value="">
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(Please Select)
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</option>
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<option value="AL">
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AL
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</option>
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<option value="AK">
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AK
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</option>
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<option value="AZ">
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AZ
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</option>
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<option value="AR">
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AR
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</option>
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<option value="CA">
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CA
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</option>
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<option value="CO">
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CO
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</option>
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<option value="CT">
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CT
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</option>
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<option value="DE">
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DE
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</option>
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<option value="DC">
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DC
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</option>
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<option value="FL">
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FL
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</option>
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<option value="GA">
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GA
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</option>
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<option value="HI">
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HI
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</option>
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<option value="ID">
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ID
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</option>
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<option value="IL">
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IL
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</option>
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<option value="IN">
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IN
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</option>
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<option value="IA">
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IA
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</option>
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<option value="KS">
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KS
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</option>
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<option value="KY">
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KY
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</option>
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<option value="LA">
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LA
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</option>
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<option value="ME">
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ME
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</option>
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<option value="MD">
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MD
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</option>
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<option value="MA">
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MA
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</option>
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<option value="MI">
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MI
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</option>
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<option value="MN">
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MN
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</option>
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<option value="MS">
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MS
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</option>
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<option value="MO">
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MO
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</option>
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<option value="MT">
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MT
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</option>
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<option value="NE">
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NE
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</option>
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<option value="NV">
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NV
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</option>
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<option value="NH">
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NH
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</option>
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<option value="NJ">
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NJ
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</option>
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<option value="NM">
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NM
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</option>
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<option value="NY">
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NY
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</option>
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<option value="NC">
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NC
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</option>
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<option value="ND">
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ND
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</option>
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<option value="OH">
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OH
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</option>
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<option value="OK">
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OK
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</option>
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<option value="OR">
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OR
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</option>
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<option value="PA">
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PA
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</option>
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<option value="RI">
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RI
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</option>
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<option value="SC">
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SC
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</option>
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<option value="SD">
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SD
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</option>
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<option value="TN">
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TN
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</option>
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<option value="TX">
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TX
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</option>
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<option value="UT">
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UT
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</option>
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<option value="VT">
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VT
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</option>
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<option value="VA">
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VA
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</option>
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<option value="WA">
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WA
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</option>
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<option value="WV">
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WV
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</option>
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<option value="WI">
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WI
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</option>
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<option value="WY">
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WY
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</option>
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<option value="APO-AP">
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APO-AP
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</option>
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<option value="APO-AE">
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APO-AE
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</option>
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<option value="APO-AA">
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APO-AA
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</option>
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</select><br>
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<font
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size="-1" color="#2A1A64">Select your
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state. U.S. Inquiries only.</font> </td>
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<!-- Begin qcolspan_pad_right.inc -->
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</tr>
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<!-- End qcolspan_pad_right.inc -->
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<!-- End type2.inc -->
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<!-- Begin type1.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 4 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<tr>
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class="body"><b>Zip
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Code</b></span> </td>
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<td colspan="1" valign="TOP">
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<input type="TEXT" name="Home.PostalCode" size="10"
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maxlength="10" value=""> <br>
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<input type="HIDDEN" name="QArray"
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value="9"> <font
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size="-1" color="#2A1A64">Enter your 5
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digit U.S. zip code.</font> </td>
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<!-- Begin qcolspan_pad_right.inc -->
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<td colspan="2" valign="TOP"> </td>
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</tr>
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<!-- End qcolspan_pad_right.inc -->
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<!-- end type1.inc -->
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<!-- Begin type1.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 6 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<tr>
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class="body"><b>
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Email</b></span> </td>
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<td colspan="3" valign="TOP">
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<input type="TEXT" name="Home.Email" size="30"
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maxlength="50" value=""> <br>
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<input type="HIDDEN" name="QArray"
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value="15"> <font
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size="-1" color="#2A1A64">For order
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confirmation purposes, enter your email
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address (without any spaces). E.G.
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joe@email.net or screenname@aol.com.</font>
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</td>
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<!-- Begin qcolspan_pad_right.inc -->
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</tr>
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<!-- End qcolspan_pad_right.inc -->
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<!-- end type1.inc -->
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<!-- Begin type1.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 6 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<tr>
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<!-- End qcolspan_pad_left.inc -->
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<td colspan="1" valign="TOP">
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<span class="body"><b>Phone
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Number</b></span> </td>
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<td colspan="3" valign="TOP">
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<input type="TEXT" name="Home.Phone" size="30"
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maxlength="30" value=""> <br>
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<input type="HIDDEN" name="QArray"
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value="21"> <font
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size="-1" color="#2A1A64">Please include
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your area code and enter your number in
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this format. Example: 206-555-5454</font>
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</td>
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<!-- Begin qcolspan_pad_right.inc -->
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</tr>
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<!-- End qcolspan_pad_right.inc -->
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<!-- end type1.inc -->
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<!-- Begin type2.inc -->
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<!-- Begin qcolspan_select.inc -->
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<!-- Order_Format_Type : 0 -->
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<!-- End qcolspan_select.inc -->
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<!-- Begin qcolspan_pad_left.inc -->
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<!-- End qcolspan_pad_right.inc -->
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<!-- End type2.inc -->
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</table>
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</td>
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<td> </td>
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</tr>
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<tr>
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<td> </td>
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</tr>
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</table>
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</td>
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<td> </td>
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</tr>
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<tr>
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<td colspan="5" valign="top">
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<center> <input type="submit" value="Complete This Order"> </center> </td>
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</tr>
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</table>
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</center>
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</form>
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</body>
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</html>
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