<div align="center"><br /><br />
<form action="http://pub8.bravenet.com/emailfwd/senddata.php" method="post" enctype="multipart/form-data">
<table cellpadding="0" cellspacing="0" border="0" bgcolor="#999999"><tr><td>
<table border="0" cellpadding="10" cellspacing="0" bgcolor="#999999"><tr bgcolor="white"><td>
<font face="Verdana,Arial,Helvetica" size="1"><b>What is your name?</b></font><br />
<input style="background-color:#00ffff; color:#ffff00" type="text" name="name" size="20" /><br />
<font face="Verdana,Arial,Helvetica" size="1"><b>Where are you from?</b></font><br />
<input style="background-color:#ccaacc" type="text" name="where" size="20" /><br>
<font color="red" face="Verdana,Arial,Helvetica" size="1"><b>E-mail address?</b></font><br />
<input style="color:#cc0000" type="text" name="replyemail" size="20"><br />
<br /><div align="center">
<input style="color:#e0e0e0; background-color:#204080; font-weight:bold" type="submit" name="submit" value=" Send ">
<input style="color:#cc0000; background-color:#ffffff" type="reset" name="reset" value=" Clear ">
</div></td></tr></table></td></tr></table>
</form></div>

DO NOT USE THE SAME PUB# AND USERNUM AS THESE .... IT'S MY PUB# AND USERNUM

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