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document.write("<script language=\"Javascript\"> var submitted_f480809_B2EB92CC3D6C3E01=false; /*form submission function*/ function sf480809_B2EB92CC3D6C3E01_SUBMIT() { var fObj = document.forms['f480809_B2EB92CC3D6C3E01']; if (!document.all || typeof(fObj.tagName)=='string') { if (!submitted_f480809_B2EB92CC3D6C3E01) { submitted_f480809_B2EB92CC3D6C3E01=true; setCurs(); fObj.action='http://FormModule.xaraonline.com/targetpage.asp'; fObj.submit(); } } else { alert('There are multiple instances of this form on this page.\\nIt is not possible to send this form.'); } } /*hourglass function*/ function setCurs() { if (document.all) { document.body.style.cursor='wait'; for (var obj in document.body.all) { if (typeof(document.body.all[obj].style)=='object') { document.body.all[obj].style.cursor='wait'; } } } } </script" + ">");
document.write("<form style=\"margin:0px;\" name=\"f480809_B2EB92CC3D6C3E01\" action=\"\" method=\"post\"><input type=\"hidden\" name=\"XO_USER_AND_MODULE_ID\" value=\"ZYC-1-BDC1-480809/480809:B2EB92CC3D6C3E01\"/><input type=\"hidden\" name=\"XO_FORMVERSIONNUMBER\" value=\"1.0\"/><input type=\"hidden\" name=\"XO_TARGETURL\" value=\"\"/><input type=\"hidden\" name=\"XO_MODULEFREE\" value=\"true\"/><input type=\"hidden\" name=\"XO_ELEMLIST\" value=\"name,email,telephone,age,sex,message\"/><input type=\"hidden\" name=\"XO_TYPELIST\" value=\"0,0,0,0,0,0\"/><table border=\"0\"  width=\"0\"  bordercolor=\"#000000\"  cellpadding=\"4\"  cellspacing=\"0\"><tr><td colspan=\"4\" BGColor=\"#3300FF\" align=\"LEFT\" valign=\"TOP\"><font face=\"Verdana, Arial, Helvetica, Sans-serif\" style=\"font-size:9pt;\" Color=\"#FFFF33\"><i><b>Enter Lucky Dip You Could Win A Website.....................</b></i></font" + ">");
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document.write("</td><td BGColor=\"#CECFCE\" align=\"LEFT\" valign=\"MIDDLE\"><select style=\"font-family:Arial; font-size:13px;\" name=\"age\" size=\"1\"><option selected>16-20</option><option>21-34</option><option>35-44</option><option>45-54</option><option>55+</option></select" + ">");
document.write("</td><td BGColor=\"#CECFCE\" align=\"LEFT\" valign=\"TOP\"><font style=\"font-size:1px;\">&#160;</font" + ">");
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document.write("</td><td>&#160;</td><td align=\"LEFT\"><input type=\"radio\" name=\"sex\" value=\"Female\"/></td><td align=\"LEFT\">&#160;<font face=\"Verdana, Arial, Helvetica, Sans-serif\" style=\"font-size:8pt;\" Color=\"#000000\">Female</font" + ">");
document.write("</td><td>&#160;</td></tr></table></td></tr><tr><td BGColor=\"#CECFCE\" align=\"RIGHT\" valign=\"TOP\"><font face=\"Verdana, Arial, Helvetica, Sans-serif\" style=\"font-size:8pt;\" Color=\"#000000\"><b>Message:</b></font" + ">");
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