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<FORM action="signup.cgi">

<TABLE>
<TR><TD>Name: </TD><TD><INPUT Name="name" TYPE="text" size="40"></INPUT></TD></TR>
<TR><TD>Email: </TD><TD><INPUT Name="email" TYPE="text" size="40"></INPUT></TD></TR>
</TABLE>
<BR><INPUT VALUE="Submit" TYPE="SUBMIT">
</FORM>