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<table cellspacing=0 cellpadding="3" border="0" bgcolor="#ffffff"><form target=_top method="POST" action="http://www.focalex.com/subscriber/subscribe.mpl/208505" onsubmit='return ( (this.email.value.indexOf("@")>0 && this.email.value.indexOf(".")>0) ? alert("Congratulations, you are being subscribed! Check your email to reply to our welcome email!") : (alert("Please enter a valid email address.") || false) )'><input type="hidden" name="affiliate_id" value="208505"><input type="hidden" name="form_type" value="HASH(0x8eff3d8)"><input type=hidden name="form_version" value="family_2.1"><input type="hidden" name="gatherer_id" value="newsletter page"> <input type=hidden name="country_code_guess" value="HASH(0x8f1e95c)"> <tr><td align=center><table cellpadding=1 cellspacing="1" border="0"> <tr><td align=center><font size=4 color="#003399" face="Arial,Helvetica" style="font-size:14pt"> <b>Pick your topics, and we'll send you great deals, free information, <br> and special offers by email from Focalex.</b> </font></td></tr></table></td></tr><tr> <td align=center> <table border=0 cellspacing="0" cellpadding="0" bgcolor="#ffffff"> <tr><td align=center><table border=0 cellspacing="0" cellpadding="0" bgcolor="#ffffff"> <tr><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="155" checked> Parenting</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="369" checked> Kid Stuff</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="367"> Arts/Crafts</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="368"> Baby/Pregnancy</font></td> <td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="284"> Decorating</font></td></tr> <tr><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="22"> Divorced</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="374"> Do It Yourself</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="169"> Housewares</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="323"> Getting Married</font></td> <td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="274"> Single Parent</font></td></tr> <tr><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="213"> Personal Finance</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="254"> Free/Special Offers</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="174"> Sports</font></td><td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="1204"> College</font></td> <td nowrap><font color="#003399" face="Arial,Helvetica" size="1" style="font-size:8pt;"><input type=checkbox name="list_id" value="76"> Health</font></td></tr> </table></td></tr></table><table border="0" cellpadding="0" cellspacing="0" width="95%"><tr><td align="center" colspan="4"> <font color="#003399" face="Arial,Helvetica" size="2" style="font-size:10pt'"> Age: <input type=text name="age" maxlength="4" size="5"> Gender: <select name=gender> <option value="">-- <option value=F>Female <option value=M>Male </select> </font></td></tr> <tr><td align=center nowrap> <font color="#003399" face="Arial,Helvetica" size="2" style="font-size:10pt"> E-mail: <input type=text name="email" maxlength="50" size="15"> </font></td><td align=center nowrap> <font color="#003399" face="Arial,Helvetica" size="2" style="font-size:10pt"> Zip Code: <input type=text name="zip" size="5" maxlength="25"> </font></td><td align=center nowrap> <input type=submit name="x" value="Sign Up!"> </td></tr><tr> <td colspan=3 align="center"> <font face="Arial,Helvetica" size="2" style="font-size:10pt"> <b><a href="http://www.focalex.com/subs.emp?aid=208505" target="_blank"><font color="#003399">Other Great Lists</font></a>   <a href="http://www.focalex.com/affiliates/?pc=208505&ban=esf"><font color="#003399">Webmasters make money.</font></a></font> </b></font></td></tr> </table></td></tr></form></table>

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