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<form name="contactForm" method="post" action="http://www.mycontactform.com/sendform/sendform.php">
<input name="user" type="hidden" id="user" value="smartprofit4u" /><input name="formid" type="hidden" id="formid" value="333977" />
<table width="100%" style="border: 0px solid #000000; margin: 0; padding: 0; background-color: #FFFFFF;"><tr><td>
<table width="100%" border="0" cellspacing="0" cellpadding="5">
<tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Arial"> Subject:<font color="#FF0000"> *</font></font></td><td><select name="subject" id="subject" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"><option value="smart profit for you">smart profit for you</option></select></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Arial">Name:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Arial"><input name="q[1]" type="text" id="q[1]" value="" size="30" maxlength="150" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Arial"> E-mail Address:<font color="#FF0000"> *</font></font></td><td><input name="email" type="text" id="email" size="20" maxlength="100" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></td></tr><tr bgcolor="#FFFFFF"><td colspan="2"><font color="#000000" size="2" face="Arial">Mailing Address:</font></td></tr><tr bgcolor="#FFFFFF"><td colspan="2"><font color="#000000" size="2" face="Arial"><textarea name="q[2]" cols="30" rows="3" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></textarea></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Arial">City:</font></td><td><font color="#000000" size="2" face="Arial"><input name="q[3]" type="text" id="q[3]" value="" size="20" maxlength="150" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Arial">State:</font></td><td><font color="#000000" size="2" face="Arial"><select name="q[4]" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"> <option value="Alabama">Alabama</option> <option value="Alaska">Alaska</option> <option value="Arizona">Arizona</option> <option value="Arkansas">Arkansas</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="Delaware">Delaware</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Hawaii">Hawaii</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Indiana">Indiana</option> <option value="Iowa">Iowa</option> <option value="Kansas">Kansas</option> <option value="Kentucky">Kentucky</option> <option value="Louisiana">Louisiana</option> <option value="Maine">Maine</option> <option value="Maryland">Maryland</option> <option value="Massachusetts">Massachusetts</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Mississippi">Mississippi</option> <option value="Missouri">Missouri</option> <option value="Montana">Montana</option> <option value="Nebraska">Nebraska</option> <option value="Nevada">Nevada</option> <option value="New Hampshire">New Hampshire</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="New York">New York</option> <option value="North Carolina">North Carolina</option> <option value="North Dakota">North Dakota</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Oregon">Oregon</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Rhode Island">Rhode Island</option> <option value="South Carolina">South Carolina</option> <option value="South Dakota">South Dakota</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Utah">Utah</option> <option value="Vermont">Vermont</option> <option value="Virginia">Virginia</option> <option value="Washington">Washington</option> <option value="Washington, DC">Washington, DC</option> <option value="West Virginia">West Virginia</option> <option value="Wisconsin">Wisconsin</option> <option value="Wyoming">Wyoming</option> <option value="">--Territories--</option> <option value="American Samoa">American Samoa</option> <option value="Federated States of Micronesia">Federated States of Micronesia</option> <option value="Guam">Guam</option> <option value="Midway Islands">Midway Islands</option> <option value="Puerto Rico">Puerto Rico</option> <option value="U.S. Virgin Islands">U.S. Virgin Islands</option> </select></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Arial">Zip Code:</font></td><td><font color="#000000" size="2" face="Arial"><input name="q[5]" type="text" value="" size="10" maxlength="20" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;" /></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Arial">Phone:</font></td><td><font color="#000000" size="2" face="Arial"><input name="q[6]" type="text" id="q[6]" value="(xxx) xxx - xxxx" size="30" maxlength="150" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Arial">Message:</font></td><td><font color="#000000" size="2" face="Arial"><textarea name="q[7]" cols="45" rows="6" style="font-family: Arial; font-size: 14px; font-weight: normal; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; vertical-align: middle; padding-left: 4px;"></textarea></font></td></tr><tr><td colspan="2"><hr size="1" /></td></tr>
<tr><td colspan="2"><input name="submit" type="submit" style="background-color: #CCCCCC; font-family: Arial; font-size: 16px; color: #000000; border-bottom:2px solid #000000; border-right:2px solid #000000; border-top:2px solid #000000; border-left:2px solid #000000" value="Submit" /> <input name="reset" type="reset" style="background-color: #CCCCCC; font-family: Arial; font-size: 16px; color: #000000; border-bottom:2px solid #000000; border-right:2px solid #000000; border-top:2px solid #000000; border-left:2px solid #000000" value="Reset" /> <input type="button" style="background-color: #CCCCCC; font-family: Arial; font-size: 16px; color: #000000; border-bottom:2px solid #000000; border-right:2px solid #000000; border-top:2px solid #000000; border-left:2px solid #000000" value="Print" onClick="window.print()" /> </td></tr>
<tr><td><font color="#FF0000" size="1" face="Verdana, Arial, Helvetica, sans-serif"><b>*</b></font> <font size="1" face="Verdana, Arial, Helvetica, sans-serif">Required</font></td><td align="right"><font size="1" face="Verdana, Arial, Helvetica, sans-serif"><a href="http://www.mycontactform.com">Contact form by <strong>myContactForm.com</strong></a></font></td></tr>
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