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src=/slideshow/edm-23026932/23026932/"http:/www.flexamail.com/GetImage.ashx?Id=6652" /></div>
<div style="text-align: center;"><span style="font-size:130%;"><span
style="color: rgb(255, 102, 0); font-weight: bold;">¨¨????¡§??????!<span
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<b>
<br>
</b>
</p>
<div class="clear"></div><div id="HTML1" class="widget HTML">
<div class="widget-content"><!-- Sidebar 1 *** --><div id="sidebar1"
class="sidebar section section">
<div id="HTML12" class="widget HTML"><div class="widget-content"><div
class="textwidget">
<form action="http://www.vemabuilder.org/718401705/aogo" name="form"
method="post">
<div align="center">
<center>
<table bordercolordark="#000000" bordercolorlight="#000000" class="formfont"
width="415" bordercolor="#000000" cellpadding="5" cellspacing="0" style="border-
collapse: collapse">
<tbody><tr>
<td class="formfont" width="170" bgcolor="#CC0000" align="center">
<b>
<font color=#FFFFFF>?¡ì??¡ã?</font></b></td>
<td class="item" width="245"><input maxlength="50" value=""
name="surveyFirstName" size="25" type="text" align="left"></td></tr><tr>
<td class="formfont" bgcolor="#CC0000" width="170" align="center">
<b>
<font color=#FFFFFF>?????</font></b></td><td class="item" width="245"><input
maxlength="50" value="" name="surveyLastName" size="25" type="text"
align="left"></td></tr><tr>
<td class="formfont" bgcolor="#CC0000" width="170" align="center">
<b>
<font color=#FFFFFF>¨¨?????¨¦??¨¨?¡À</font></b></td><td class="item"
width="245"><input maxlength="30" value="" name="surveyPhone" size="25"
type="text" align="left"></td></tr><tr>
<td class="formfont" bgcolor="#CC0000" width="170" align="center">
<b>
<font color=#FFFFFF>?????¡§E-mail</font></b></td><td class="item"
width="245"><input maxlength="50" value="" name="surveyEmail" size="25"
type="text" align="left"></td></tr><tr>
<td class="formfont" bgcolor="#CC0000" width="170" align="center">
<b>
<font color=#FFFFFF>??????¨¨?????E-mail</font></b></td><td class="item"
width="245"><input maxlength="50" value="" name="surveyConfirmEmail" size="25"
type="text" align="left"></td></tr><tr>
<td class="formfont" bgcolor="#CC0000" width="170" align="center">
- 2. <b>
<font color=#FFFFFF>????????¡ã???</font></b></td><td class="item"
width="245"><select class="formfont" name="surveyCountry"><option
value="">¨¨??¨¦???????????????????¡ã???</option>
<option value="1">??????</option>
<option value="12">??????</option>
<option value="13">??¡ì??¡ã???</option>
<option value="36">?? ????¡è¡ì</option>
<option value="78">??¡¤???</option>
<option value="94">¨¦????? / ?????</option>
<option value="98" >??¡ã?¡ã?</option>
<option value="99">??????¨¨?</option>
<option value="103">??????</option>
<option value="123">¨¦?????¨¨?????</option>
<option value="147">???¨¨??¨¨?</option>
<option value="163">¨¨?????¨¨??</option>
<option value="183">??¡ã?? ???</option>
<option value="184">??????????¡ã????</option>
<option value="197">??¡ã???</option>
<option value="213">¨¨?¡À???</option></select></td></tr><tr>
<td class="formfont" width="170" bgcolor="#CC0000" align="center">
<b>
<font color=#FFFFFF>???????????????¨¨?????</font></b></td>
<td class="item" width="245"><select class="formfont"
name="surveyIncomeGoal"><option value="">¨¨??¨¦?????</option><option
value="0">??????????¡ã???? $1,000??????</option><option value="1">?????????
$1,000??????</option><option value="2">????????? $3,000??????</option><option
value="3">????????? $5,000??????</option><option value="4">?????????
$10,000????????????</option></select></td> </tr></tbody></table>
</center>
</div>
<div align="center"> <p><span style="color: rgb(153, 102, 255);">
<br>
<input type="submit" style="width:320px; height:36px; color:#FD3114;
background:#fffffff;font-size: 16px;" value="??????????????? ??? ??
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</p>
</div>
<script language=javascript>
function openWindow()
{
window.open("http://e88.yolasite.com") ;
}
</script></form>
<br>
<br>
<br>
</td>
