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<title>CT Rail Council FormMailer</title>
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<td width="36"><img src="http://www.trainweb.org/ct/nhlogo.jpg" width="136"
height="102"></td>
<td><form action="http://www.trainweb.com/cgi-bin/afm.cgi" method="post">
<input type="hidden" name="CT Rail Commuter Council" value="trains@camcomm.com"><input type="hidden"
name="http://www.trainweb.org/ct/thanks.htm" value="http://www.trainweb.com/tech/formconf.htm"><input type="hidden"
name="SUBJECT" value="E-Mail Alert Service Registration"><input type="hidden" name="reg@camcomm.com"
value="TrainWeb_FormMailer@trainweb.com"><input type="hidden" name="SUPPRESS_EMPTY" value><input
type="hidden" name="SEPARATOR" value="= "><!--THESE ARE THE FORM MAILER OPTIONS-->
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<p><!-- mailer directives for Advanced Form Mailer --><!-- end of mailer directives --><!-- Lets get the users browser information --><!-- Suppress any empty entries so as to not clutter up the email --><!-- begin error checking directives for --><!-- require them to enter their name --><!-- don't require the phone number, but if they do enter it, make sure
that it is a valid US phone number --><!-- make sure that they enter their ZIP Code, and that it looks valid --><!-- make sure that if they gave us their email address, that it looks
like a valid email address --><!-- optionally they can tell us their age, but only numerically --><!-- make sure that they actually select something from this list --><!-- end error checking directives --><!-- Now, on with the actuall form itself --></p>
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<th align="left" colspan="2"><font size="2">Contact Information:</font></th>
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<th align="right"><font size="2">First Name: </font></th>
<td><input type="text" size="40" maxlength="60" name="First Name"></td>
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<th align="right"><font size="2">Last Name: </font></th>
<td><input type="text" size="20" maxlength="25" name="Last Name"></td>
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<th align="right"><font size="2">Email: </font></th>
<td><input type="text" size="40" maxlength="60" name="Email"></td>
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<th align="right"><font size="2">Street Address: </font></th>
<td><input type="text" size="50" maxlength="60" name="Street Address"></td>
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<th align="right"><font size="2">City: </font></th>
<td><input type="text" size="20" maxlength="25" name="City"></td>
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<th align="right"><font size="2">Zip Code: </font></th>
<td><input type="text" size="10" maxlength="60" name="Zip"></td>
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<th align="right"><font size="2">State: </font></th>
<td><input type="text" size="10" maxlength="3" name="State:"></td>
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<th align="right" valign="top"><font size="2">How did you find us?</font></th>
<td valign="top"><select name="Source" size="1">
<option>Commuter Council brochure</option>
<option>Newspaper article</option>
<option>AltaVista</option>
<option>Yahoo</option>
<option>Excite</option>
<option>Don't Know</option>
</select> </td>
</tr>
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<td align="center" colspan="2"><table border="0" width="280">
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<td align="center"><input type="submit"></td>
<td align="center"><input type="reset"></td>
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<p><br>
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</form>
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