Index: chrome/test/data/autofill/heuristics/input/03_checkout_cduniverse.com.html
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diff --git a/chrome/test/data/autofill/heuristics/input/03_checkout_cduniverse.com.html b/chrome/test/data/autofill/heuristics/input/03_checkout_cduniverse.com.html
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+++ b/chrome/test/data/autofill/heuristics/input/03_checkout_cduniverse.com.html
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@@ -0,0 +1,317 @@
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+
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+
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+<html>
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+<head>
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+<title>CD Universe</title>
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+<meta name="robots" content="noindex,nofollow">
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+
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+
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+
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+
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+
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+<LINK rel="stylesheet" href="/stylesheet.css" type="text/css">
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+<STYLE>.contentdesctop{color: gray;margin-top: 10px; background-color: white; position: absolute; top: 17px; right: 10px; text-align: right;}</STYLE>
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+</head>
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+
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+
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+<body bgcolor="#FFFFFF" text="#000000" link="#0000FF" vlink="#000099" leftmargin="0" topmargin="4" marginwidth="0" marginheight="0">
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+
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+
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+ <form name="frmSearch" id="frmSearch" action="http://www.cduniverse.com/sresult.asp" method="GET" style="display: inline;">
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+
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+<table width="100%" border="0" cellpadding="0" cellspacing="0" id="ntgen">
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+ <tr>
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+ <td width="211"><a href="http://www.cduniverse.com/default.asp?style=music"><img src="https://www.cduniverse.com/images/nlogo-cd.gif" alt="CD Universe" border="0"></a></td>
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+ <td>
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+ <table width="100%" border="0" cellpadding="0" cellspacing="0" id="ntgen2">
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+ <tr>
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+ <td>
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+ <table height="40" border="0" cellpadding="0" cellspacing="0" width="100%" id="ntgen3">
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+ <tr>
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+ <td valign="bottom" width="100">
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+
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+ <table cellspacing="0" cellpadding="0" border="0" id="ntm4">
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+ <tr>
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+
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+ <td><a href="http://www.cduniverse.com/"><img src="https://www.cduniverse.com/images/ntab-musicon.gif" alt="Music" border="0"></a></td>
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+
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+ <td><a href="http://www.cduniverse.com/default.asp?style=mp3"><img src="https://www.cduniverse.com/images/ntab-mp3.gif" alt="MP3" border="0"></a></td>
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+
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+ <td><a href="http://www.cduniverse.com/default.asp?style=movie"><img src="https://www.cduniverse.com/images/ntab-movies.gif" alt="Movies" border="0"></a></td>
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+ <td><a href="http://www.cduniverse.com/default.asp?style=games"><img src="https://www.cduniverse.com/images/ntab-games.gif" alt="Games" border="0"></a></td>
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+
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+ </tr>
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+ </table>
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+
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+ </td>
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+ <td align="right">
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+ <table cellpadding="0" cellspacing="0" id="nav-buttons"><tr><td width=100></td><td width="49" align=right valign=top><a href="http://www.cduniverse.com/checkout/cart.asp?style=music" rel="nofollow"><img id="imgInCartMain" src="https://www.cduniverse.com/images/nb-vcO.gif" alt="View Cart" border="0" hspace="6"></a></td><td width="70"><a href="https://www.cduniverse.com/checkout/account.asp?style=music" rel="nofollow"><img src="https://www.cduniverse.com/images/nb-ya.gif" alt="Your Account" border=0 hspace=6 ></a></td><td width="52"><a href="http://www.cduniverse.com/wishlist.asp?style=music" rel="nofollow"><img src="https://www.cduniverse.com/images/nb-wl.gif" alt="Wish List" border=0 hspace=6></a></td><td><a href="http://www.cduniverse.com/policy.asp?style=music" rel="nofollow"><img src="https://www.cduniverse.com/images/nb-h.gif" alt="Help" border=0 hspace=6></a></td></tr></table>
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+ </td>
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+ </tr>
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+ </table></td>
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+ </tr>
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+
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+ <tr bgcolor="#00528A">
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+ <td colspan="2" height="32" align=right><table cellspacing=0 cellpadding=0 border=0><tr><td width=250 align="center"><style type="text/css">
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+a.session{color:#ffffff;text-decoration:none;}
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+a.session:hover {color:#ffffff;text-decoration:underline;}
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+a.session:visited {color:#ffffff;text-decoration:none;}</style>
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+<span style="font-size:10px;font-weight:bold;color:#ffffff">Existing Customer? <a class="session" rel="nofollow" href="https://www.cduniverse.com/login.asp?style=music&noref=1">Sign In</a> </span><br></td><td width="115" align="right"><!-- START SCANALERT CODE --><a target="_blank" rel="nofollow" href="https://www.mcafeesecure.com/RatingVerify?ref=www.cduniverse.com"><img width="115" height="32" border="0" src="//images.scanalert.com/meter/www.cduniverse.com/12.gif" alt="McAfee SECURE sites help keep you safe from identity theft, credit card fraud, spyware, spam, viruses and online scams" ></a><!-- END SCANALERT CODE --></td></tr></table><td></tr>
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+ </table><!--ntm2-->
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+ </td>
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+ </tr>
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+</table><!--End NTM-->
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+</form>
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+
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+<table id="ntmusic" width="100%" cellspacing="0" cellpadding="0">
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+ <tr>
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+ <td background="https://www.cduniverse.com/images/msn-bg.jpg">
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+ <table cellspacing="0" cellpadding="0">
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+ <tr>
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+ <td><a border="none" style="text-decoration:none;outline-style:none;color:black" href="http://www.cduniverse.com/default.asp?style=music"><img border="none" src="https://www.cduniverse.com/images/msn-allo.jpg"></a></td>
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+
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+
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+ <td><a border="none" rel="nofollow" style="text-decoration:none;outline-style:none;color:black" href="http://www.cduniverse.com/default.asp?style=mp3"><img border="none" src="https://www.cduniverse.com/images/msn-mp3.jpg"></a></td>
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+
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+
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+ <td><a border="none" style="text-decoration:none;outline-style:none;color:black" href="http://www.cduniverse.com/default.asp?style=classical"><img border="none" src="https://www.cduniverse.com/images/msn-classical.jpg"></a></td>
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+ </tr>
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+ </table>
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+ </td>
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+
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+ </tr>
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+</table>
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+<br><tr><table width="100%" bgcolor=white id="dpbs1"><tr><td width="100%">
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+ <!--<td width="100%" valign="top">-->
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+ <center><br><table bgcolor="white" width="700" border="0" cellpadding="0" cellspacing="0" id="pcs">
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+ <tr><td rowspan="1" valign="top"><div style="margin:0px 0px 14px 0px;"><img src="https://www.cduniverse.com/images/step2a.jpg"></div>
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+
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+ <table width="100%" border="0" cellpadding="cellspacing=4">
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+
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+
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+ <form METHOD="POST" ACTION="account.asp?style=music&vDestURL=" id="form3" name="form3">
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+ <tr>
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+ <td width="229"><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
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+
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+ First Name
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+
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+ </b></font></td>
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+
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+ <td width="998"><input NAME="HT_First_Name" TYPE="TEXT" ROWS="1" SIZE="15" MAXLENGTH="19" VALUE=""></td>
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+ </tr>
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+ <tr>
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+ <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
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+
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+ Last Name
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+
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+ </b></font></td>
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+ <td><input NAME="HT_Last_Name" TYPE="TEXT" ROWS="1" SIZE="25" MAXLENGTH="30" VALUE=""></td>
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+ </tr>
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+ <tr>
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+ <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
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+ <br>
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+
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+ Password
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+
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+ </b></font></td>
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+ <td><br>
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+ <input NAME="HT_Password" TYPE="PASSWORD" ROWS="1" SIZE="20" MAXLENGTH="20"></td></tr>
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+ <tr>
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+ <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
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+
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+ <b>Re-enter Password</b></font>
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+
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+ </td>
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+ <td><input NAME="HT_Conf_Password" TYPE="PASSWORD" ROWS="1" SIZE="20" MAXLENGTH="20"></td>
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+ </tr>
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+ <tr>
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+ <td COLSPAN="2" height="20"></td>
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+ </tr>
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+ <tr>
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+ <td><font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2"><b>
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+
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+ Email
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+
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+ </b></font></td>
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+ <td><input NAME="HT_email" TYPE="TEXT" ROWS="1" SIZE="40" MAXLENGTH="50" VALUE=""></td>
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+ </tr>
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+
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+
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+ <tr>
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+ <td colspan="2">We use your email address to notify you when your order ships, or for any problems with your order.<br>Leave the box blank if you do not have an email address.</td>
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+ </tr>
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+ <tr>
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+ <td COLSPAN="2"><br><font FACE=""Verdana, Helvetica, Sans-Serif"" size="2"><b>Please make note of your name and password for future orders.</b></font><br><br></td>
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+ </tr>
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+ <tr>
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+ <td COLSPAN="2"><br><br>
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+ <div class="label">Bill To: <font color=gray size=1px>(must match credit card)</font></div><hr width="100%" size="1" color="#c0c0c0" noshade>
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b><nobr>Address 1</nobr></b></font></td>
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+ <td>
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+ <input NAME="HT_Bill_Address1" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
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+ </tr>
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+ <tr>
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+
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+ <td valign="top"> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b><nobr>Address 2</nobr></b></font> </td>
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+ <td>
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+ <input NAME="HT_Bill_Address2" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE="">
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+ <br>
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+ <font color="#999999">(Apt, Suite, Floor # if applicable)</font> <br>
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+ <br>
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+ </td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>City</b></font></td>
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+ <td>
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+ <input NAME="HT_Bill_City" TYPE="TEXT" ROWS="1" SIZE="30" MAXLENGTH="50" VALUE=""></td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>State/Province</b></font></td>
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+ <td>
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+ <input NAME="HT_Bill_State" TYPE="TEXT" ROWS="1" SIZE="4" MAXLENGTH="20" VALUE=""><font SIZE="1" FACE=""Verdana, Helvetica, Sans-Serif""> Click <a target="new" HREF="stateabbrev.asp">here</a> for State Abbreviations</font></td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Zip/Postal Code</b></font></td>
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+ <td>
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+ <input NAME="HT_Bill_Zip" TYPE="TEXT" ROWS="1" SIZE="10" MAXLENGTH="16" VALUE=""></td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Phone</b></font></td>
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+ <td>
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+ <input NAME="HT_phone" TYPE="TEXT" ROWS="1" SIZE="16" MAXLENGTH="16" VALUE=""><font color="#999999">XXX-XXX-XXXX</font></td>
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+ </tr>
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+ <tr>
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+ <td>
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+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Country</b></font></td>
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+ <td>
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+ <select NAME="HT_Bill_Country" TYPE="TEXT" SIZE="1" MAXLENGTH="26">
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+
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+
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+ <option selected VALUE="USA">USA</option>
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+ <OPTION VALUE=""></OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="">=================</OPTION><OPTION VALUE="Afghanistan">Afghanistan</OPTION><OPTION VALUE="Albania">Albania</OPTION><OPTION VALUE="Algeria">Algeria</OPTION><OPTION VALUE="Andorra">Andorra</OPTION><OPTION VALUE="Angola">Angola</OPTION><OPTION VALUE="Anguilla">Anguilla</OPTION><OPTION VALUE="Antigua and Barbuda">Antigua and Barbuda</OPTION><OPTION VALUE="Argentina">Argentina</OPTION><OPTION VALUE="Armenia">Armenia</OPTION><OPTION VALUE="Aruba">Aruba</OPTION><OPTION VALUE="Ascension">Ascension</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="Austria">Austria</OPTION><OPTION VALUE="Azerbaijan">Azerbaijan</OPTION><OPTION VALUE="Bahamas">Bahamas</OPTION><OPTION VALUE="Bahrain">Bahrain</OPTION><OPTION VALUE="Bangladesh">Bangladesh</OPTION><OPTION VALUE="Barbados">Barbados</OPTION><OPTION VALUE="Belarus">Belarus</OPTION><OPTION VALUE="Belgium">Belgium</OPTION><OPTION VALUE="Belize">Belize</OPTION><OPTION VALUE="Benin">Benin</OPTION><OPTION VALUE="Bermuda">Bermuda</OPTION><OPTION VALUE="Bhutan">Bhutan</OPTION><OPTION VALUE="Bolivia">Bolivia</OPTION><OPTION VALUE="Bosnia-Herzegovina">Bosnia-Herzegovina</OPTION><OPTION VALUE="Botswana">Botswana</OPTION><OPTION VALUE="Brazil">Brazil</OPTION><OPTION VALUE="British Virgin Isld">British Virgin Isld</OPTION><OPTION VALUE="Brunei Darussalam">Brunei Darussalam</OPTION><OPTION VALUE="Bulgaria">Bulgaria</OPTION><OPTION VALUE="Burkina Faso">Burkina Faso</OPTION><OPTION VALUE="Burma (Myanmar)">Burma (Myanmar)</OPTION><OPTION VALUE="Burundi">Burundi</OPTION><OPTION VALUE="Cambodia">Cambodia</OPTION><OPTION VALUE="Cameroon">Cameroon</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Cape Verde">Cape Verde</OPTION><OPTION VALUE="Cayman Islands BWI">Cayman Islands BWI</OPTION><OPTION VALUE="Central African Rep">Central African Rep</OPTION><OPTION VALUE="Chad">Chad</OPTION><OPTION VALUE="Chile">Chile</OPTION><OPTION VALUE="China">China</OPTION><OPTION VALUE="Colombia">Colombia</OPTION><OPTION VALUE="Comoros">Comoros</OPTION><OPTION VALUE="Congo, Democratic">Congo, Democratic</OPTION><OPTION VALUE="Congo, Republic">Congo, Republic</OPTION><OPTION VALUE="Costa Rica">Costa Rica</OPTION><OPTION VALUE="Croatia">Croatia</OPTION><OPTION VALUE="Cuba">Cuba</OPTION><OPTION VALUE="Cyprus">Cyprus</OPTION><OPTION VALUE="Czech Republic">Czech Republic</OPTION><OPTION VALUE="Denmark">Denmark</OPTION><OPTION VALUE="Djibouti">Djibouti</OPTION><OPTION VALUE="Dominica">Dominica</OPTION><OPTION VALUE="Dominican Republic">Dominican Republic</OPTION><OPTION VALUE="Ecuador">Ecuador</OPTION><OPTION VALUE="Egypt">Egypt</OPTION><OPTION VALUE="El Salvador">El Salvador</OPTION><OPTION VALUE="Equatorial Guinea">Equatorial Guinea</OPTION><OPTION VALUE="Eritrea">Eritrea</OPTION><OPTION VALUE="Estonia">Estonia</OPTION><OPTION VALUE="Ethiopia">Ethiopia</OPTION><OPTION VALUE="Falkland Islands">Falkland Islands</OPTION><OPTION VALUE="Faroe Islands">Faroe Islands</OPTION><OPTION VALUE="Fiji">Fiji</OPTION><OPTION VALUE="Finland">Finland</OPTION><OPTION VALUE="France">France</OPTION><OPTION VALUE="France">Corsica</OPTION><OPTION VALUE="French Guiana">French Guiana</OPTION><OPTION VALUE="French Polynesia">French Polynesia</OPTION><OPTION VALUE="Gabon">Gabon</OPTION><OPTION VALUE="Gambia">Gambia</OPTION><OPTION VALUE="Georgia, Republic Of">Georgia, Republic Of</OPTION><OPTION VALUE="Germany">Germany</OPTION><OPTION VALUE="Ghana">Ghana</OPTION><OPTION VALUE="Gibraltar">Gibraltar</OPTION><OPTION VALUE="Greece">Greece</OPTION><OPTION VALUE="Greenland">Greenland</OPTION><OPTION VALUE="Grenada">Grenada</OPTION><OPTION VALUE="Guadeloupe">Guadeloupe</OPTION><OPTION VALUE="Guatemala">Guatemala</OPTION><OPTION VALUE="Guinea">Guinea</OPTION><OPTION VALUE="Guinea-Bissau">Guinea-Bissau</OPTION><OPTION VALUE="Guyana">Guyana</OPTION><OPTION VALUE="Haiti">Haiti</OPTION><OPTION VALUE="Honduras">Honduras</OPTION><OPTION VALUE="Hong Kong">Hong Kong</OPTION><OPTION VALUE="Hungary">Hungary</OPTION><OPTION VALUE="Iceland">Iceland</OPTION><OPTION VALUE="India">India</OPTION><OPTION VALUE="Indonesia">Indonesia</OPTION><OPTION VALUE="Indonesia">East Timor</OPTION><OPTION VALUE="Iran">Iran</OPTION><OPTION VALUE="Iraq">Iraq</OPTION><OPTION VALUE="Ireland">Ireland</OPTION><OPTION VALUE="Israel">Israel</OPTION><OPTION VALUE="Italy">Italy</OPTION><OPTION VALUE="Ivory Coast">Ivory Coast</OPTION><OPTION VALUE="Jamaica">Jamaica</OPTION><OPTION VALUE="Japan">Japan</OPTION><OPTION VALUE="Jordan">Jordan</OPTION><OPTION VALUE="Kazakhistan">Kazakhistan</OPTION><OPTION VALUE="Kenya">Kenya</OPTION><OPTION VALUE="Kiribati">Kiribati</OPTION><OPTION VALUE="Kosovo">Kosovo</OPTION><OPTION VALUE="Kuwait">Kuwait</OPTION><OPTION VALUE="Kyrgyzstan">Kyrgyzstan</OPTION><OPTION VALUE="Laos">Laos</OPTION><OPTION VALUE="Latvia">Latvia</OPTION><OPTION VALUE="Lebanon">Lebanon</OPTION><OPTION VALUE="Lesotho">Lesotho</OPTION><OPTION VALUE="Liberia">Liberia</OPTION><OPTION VALUE="Libya">Libya</OPTION><OPTION VALUE="Liechtenstein">Liechtenstein</OPTION><OPTION VALUE="Lithuania">Lithuania</OPTION><OPTION VALUE="Luxembourg">Luxembourg</OPTION><OPTION VALUE="Macau">Macau</OPTION><OPTION VALUE="Macedonia">Macedonia</OPTION><OPTION VALUE="Madagascar">Madagascar</OPTION><OPTION VALUE="Malawi">Malawi</OPTION><OPTION VALUE="Malaysia">Malaysia</OPTION><OPTION VALUE="Maldives">Maldives</OPTION><OPTION VALUE="Mali">Mali</OPTION><OPTION VALUE="Malta">Malta</OPTION><OPTION VALUE="Martinique">Martinique</OPTION><OPTION VALUE="Mauritania">Mauritania</OPTION><OPTION VALUE="Mauritius">Mauritius</OPTION><OPTION VALUE="Mexico">Mexico</OPTION><OPTION VALUE="Moldova">Moldova</OPTION><OPTION VALUE="Mongolia">Mongolia</OPTION><OPTION VALUE="Montenegro, Republic Of">Montenegro, Republic Of</OPTION><OPTION VALUE="Montserrat">Montserrat</OPTION><OPTION VALUE="Morocco">Morocco</OPTION><OPTION VALUE="Mozambique">Mozambique</OPTION><OPTION VALUE="Namibia">Namibia</OPTION><OPTION VALUE="Nauru">Nauru</OPTION><OPTION VALUE="Nepal">Nepal</OPTION><OPTION VALUE="Nether. Antil.">Nether. Antil.</OPTION><OPTION VALUE="Netherlands">Netherlands</OPTION><OPTION VALUE="New Caledonia">New Caledonia</OPTION><OPTION VALUE="New Zealand">New Zealand</OPTION><OPTION VALUE="Nicaragua">Nicaragua</OPTION><OPTION VALUE="Niger">Niger</OPTION><OPTION VALUE="Nigeria">Nigeria</OPTION><OPTION VALUE="North Korea">North Korea</OPTION><OPTION VALUE="Norway">Norway</OPTION><OPTION VALUE="Oman">Oman</OPTION><OPTION VALUE="Pakistan">Pakistan</OPTION><OPTION VALUE="Panama">Panama</OPTION><OPTION VALUE="Papua New Guinea">Papua New Guinea</OPTION><OPTION VALUE="Paraguay">Paraguay</OPTION><OPTION VALUE="Peru">Peru</OPTION><OPTION VALUE="Philippines">Philippines</OPTION><OPTION VALUE="Pitcairn Island">Pitcairn Island</OPTION><OPTION VALUE="Poland">Poland</OPTION><OPTION VALUE="Portugal">Portugal</OPTION><OPTION VALUE="Qatar">Qatar</OPTION><OPTION VALUE="Reunion">Reunion</OPTION><OPTION VALUE="Romania">Romania</OPTION><OPTION VALUE="Russia">Russia</OPTION><OPTION VALUE="Rwanda">Rwanda</OPTION><OPTION VALUE="San Marino">San Marino</OPTION><OPTION VALUE="Sao Tome & Principe">Sao Tome & Principe</OPTION><OPTION VALUE="Saudi Arabia">Saudi Arabia</OPTION><OPTION VALUE="Senegal">Senegal</OPTION><OPTION VALUE="Serbia">Serbia</OPTION><OPTION VALUE="Seychelles">Seychelles</OPTION><OPTION VALUE="Sierra Leone">Sierra Leone</OPTION><OPTION VALUE="Singapore">Singapore</OPTION><OPTION VALUE="Slovakia">Slovakia</OPTION><OPTION VALUE="Slovenia">Slovenia</OPTION><OPTION VALUE="Solomon Islands">Solomon Islands</OPTION><OPTION VALUE="South Africa">South Africa</OPTION><OPTION VALUE="South Korea">South Korea</OPTION><OPTION VALUE="Spain">Spain</OPTION><OPTION VALUE="Sri Lanka">Sri Lanka</OPTION><OPTION VALUE="St. Helena">St. Helena</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Kitts And Nevis</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Christopher</OPTION><OPTION VALUE="St. Lucia">St. Lucia</OPTION><OPTION VALUE="St. Pierre">St. Pierre</OPTION><OPTION VALUE="St. Vincent/Grenadine">St. Vincent/Grenadine</OPTION><OPTION VALUE="Sudan">Sudan</OPTION><OPTION VALUE="Suriname">Suriname</OPTION><OPTION VALUE="Swaziland">Swaziland</OPTION><OPTION VALUE="Sweden">Sweden</OPTION><OPTION VALUE="Switzerland">Switzerland</OPTION><OPTION VALUE="Syria">Syria</OPTION><OPTION VALUE="Taiwan">Taiwan</OPTION><OPTION VALUE="Tajkistan">Tajkistan</OPTION><OPTION VALUE="Tanzania">Tanzania</OPTION><OPTION VALUE="Thailand">Thailand</OPTION><OPTION VALUE="Togo">Togo</OPTION><OPTION VALUE="Tonga">Tonga</OPTION><OPTION VALUE="Trinidad and Tobago">Trinidad and Tobago</OPTION><OPTION VALUE="Tristan da Cunha">Tristan da Cunha</OPTION><OPTION VALUE="Tunisia">Tunisia</OPTION><OPTION VALUE="Turkey">Turkey</OPTION><OPTION VALUE="Turkmenistan">Turkmenistan</OPTION><OPTION VALUE="Turks and Caicos Isl">Turks and Caicos Isl</OPTION><OPTION VALUE="Tuvalu">Tuvalu</OPTION><OPTION VALUE="Uganda">Uganda</OPTION><OPTION VALUE="Ukraine">Ukraine</OPTION><OPTION VALUE="United Arab Emirate">United Arab Emirate</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="United Kingdom">Great Britain</OPTION><OPTION VALUE="Uruguay">Uruguay</OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="USA">United States</OPTION><OPTION VALUE="Uzbekistan">Uzbekistan</OPTION><OPTION VALUE="Vanuatu">Vanuatu</OPTION><OPTION VALUE="Vatican City">Vatican City</OPTION><OPTION VALUE="Venezuela">Venezuela</OPTION><OPTION VALUE="Vietnam">Vietnam</OPTION><OPTION VALUE="Wallis and Futuna Is">Wallis and Futuna Is</OPTION><OPTION VALUE="Western Samoa">Western Samoa</OPTION><OPTION VALUE="Yemen">Yemen</OPTION><OPTION VALUE="Zambia">Zambia</OPTION><OPTION VALUE="Zimbabwe">Zimbabwe</OPTION>
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+
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+ </select></td>
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+ </tr>
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+
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+ <tr>
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+ <td COLSPAN="2"><br><br>
|
+ <div class="label">Ship To: <font color=gray size=1px>(only if different than billing)</font></div><hr width="100%" size="1" color="#c0c0c0" noshade>
|
+ </td>
|
+ </tr>
|
+
|
+ <tr>
|
+
|
+ <td> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Full Name</b></font></td>
|
+ <td>
|
+ <input NAME="HT_Ship_Name" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
|
+ </tr>
|
+ <tr>
|
+ <td>
|
+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Address 1</b></font></td>
|
+ <td>
|
+ <input NAME="HT_Ship_Address1" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE=""></td>
|
+ </tr>
|
+ <tr>
|
+
|
+
|
+ <td valign="top"> <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Address 2</b></font></td>
|
+ <td>
|
+ <input NAME="HT_Ship_Address2" TYPE="TEXT" ROWS="1" SIZE="35" MAXLENGTH="50" VALUE="">
|
+ <br>
|
+ <font color="#999999">(Apt, Suite, Floor #)</font> <br>
|
+ <br>
|
+ </td>
|
+ </tr>
|
+ <tr>
|
+ <td>
|
+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>City</b></font></td>
|
+ <td>
|
+ <input NAME="HT_Ship_City" TYPE="TEXT" ROWS="1" SIZE="30" MAXLENGTH="30" VALUE=""></td>
|
+ </tr>
|
+ <tr>
|
+ <td>
|
+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>State/Province</b></font></td>
|
+ <td>
|
+ <input NAME="HT_Ship_State" TYPE="TEXT" ROWS="1" SIZE="4" MAXLENGTH="20" VALUE=""><font SIZE="1" FACE=""Verdana, Helvetica, Sans-Serif""> Click <a target="new" HREF="stateabbrev.asp">here</a> for State Abbreviations</font></td>
|
+ </tr>
|
+ <tr>
|
+ <td>
|
+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Zip/Postal Code</b></font></td>
|
+ <td>
|
+ <input NAME="HT_Ship_Zip" TYPE="TEXT" ROWS="1" SIZE="10" MAXLENGTH="16" VALUE=""></td>
|
+ </tr>
|
+ <tr>
|
+ <td>
|
+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2" COLOR="BLACK"><b>Country</b></font></td>
|
+ <td>
|
+ <select NAME="HT_Ship_Country" TYPE="TEXT" SIZE="1" MAXLENGTH="50">
|
+
|
+ <OPTION VALUE=""></OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="">=================</OPTION><OPTION VALUE="Afghanistan">Afghanistan</OPTION><OPTION VALUE="Albania">Albania</OPTION><OPTION VALUE="Algeria">Algeria</OPTION><OPTION VALUE="Andorra">Andorra</OPTION><OPTION VALUE="Angola">Angola</OPTION><OPTION VALUE="Anguilla">Anguilla</OPTION><OPTION VALUE="Antigua and Barbuda">Antigua and Barbuda</OPTION><OPTION VALUE="Argentina">Argentina</OPTION><OPTION VALUE="Armenia">Armenia</OPTION><OPTION VALUE="Aruba">Aruba</OPTION><OPTION VALUE="Ascension">Ascension</OPTION><OPTION VALUE="Australia">Australia</OPTION><OPTION VALUE="Austria">Austria</OPTION><OPTION VALUE="Azerbaijan">Azerbaijan</OPTION><OPTION VALUE="Bahamas">Bahamas</OPTION><OPTION VALUE="Bahrain">Bahrain</OPTION><OPTION VALUE="Bangladesh">Bangladesh</OPTION><OPTION VALUE="Barbados">Barbados</OPTION><OPTION VALUE="Belarus">Belarus</OPTION><OPTION VALUE="Belgium">Belgium</OPTION><OPTION VALUE="Belize">Belize</OPTION><OPTION VALUE="Benin">Benin</OPTION><OPTION VALUE="Bermuda">Bermuda</OPTION><OPTION VALUE="Bhutan">Bhutan</OPTION><OPTION VALUE="Bolivia">Bolivia</OPTION><OPTION VALUE="Bosnia-Herzegovina">Bosnia-Herzegovina</OPTION><OPTION VALUE="Botswana">Botswana</OPTION><OPTION VALUE="Brazil">Brazil</OPTION><OPTION VALUE="British Virgin Isld">British Virgin Isld</OPTION><OPTION VALUE="Brunei Darussalam">Brunei Darussalam</OPTION><OPTION VALUE="Bulgaria">Bulgaria</OPTION><OPTION VALUE="Burkina Faso">Burkina Faso</OPTION><OPTION VALUE="Burma (Myanmar)">Burma (Myanmar)</OPTION><OPTION VALUE="Burundi">Burundi</OPTION><OPTION VALUE="Cambodia">Cambodia</OPTION><OPTION VALUE="Cameroon">Cameroon</OPTION><OPTION VALUE="Canada">Canada</OPTION><OPTION VALUE="Cape Verde">Cape Verde</OPTION><OPTION VALUE="Cayman Islands BWI">Cayman Islands BWI</OPTION><OPTION VALUE="Central African Rep">Central African Rep</OPTION><OPTION VALUE="Chad">Chad</OPTION><OPTION VALUE="Chile">Chile</OPTION><OPTION VALUE="China">China</OPTION><OPTION VALUE="Colombia">Colombia</OPTION><OPTION VALUE="Comoros">Comoros</OPTION><OPTION VALUE="Congo, Democratic">Congo, Democratic</OPTION><OPTION VALUE="Congo, Republic">Congo, Republic</OPTION><OPTION VALUE="Costa Rica">Costa Rica</OPTION><OPTION VALUE="Croatia">Croatia</OPTION><OPTION VALUE="Cuba">Cuba</OPTION><OPTION VALUE="Cyprus">Cyprus</OPTION><OPTION VALUE="Czech Republic">Czech Republic</OPTION><OPTION VALUE="Denmark">Denmark</OPTION><OPTION VALUE="Djibouti">Djibouti</OPTION><OPTION VALUE="Dominica">Dominica</OPTION><OPTION VALUE="Dominican Republic">Dominican Republic</OPTION><OPTION VALUE="Ecuador">Ecuador</OPTION><OPTION VALUE="Egypt">Egypt</OPTION><OPTION VALUE="El Salvador">El Salvador</OPTION><OPTION VALUE="Equatorial Guinea">Equatorial Guinea</OPTION><OPTION VALUE="Eritrea">Eritrea</OPTION><OPTION VALUE="Estonia">Estonia</OPTION><OPTION VALUE="Ethiopia">Ethiopia</OPTION><OPTION VALUE="Falkland Islands">Falkland Islands</OPTION><OPTION VALUE="Faroe Islands">Faroe Islands</OPTION><OPTION VALUE="Fiji">Fiji</OPTION><OPTION VALUE="Finland">Finland</OPTION><OPTION VALUE="France">France</OPTION><OPTION VALUE="France">Corsica</OPTION><OPTION VALUE="French Guiana">French Guiana</OPTION><OPTION VALUE="French Polynesia">French Polynesia</OPTION><OPTION VALUE="Gabon">Gabon</OPTION><OPTION VALUE="Gambia">Gambia</OPTION><OPTION VALUE="Georgia, Republic Of">Georgia, Republic Of</OPTION><OPTION VALUE="Germany">Germany</OPTION><OPTION VALUE="Ghana">Ghana</OPTION><OPTION VALUE="Gibraltar">Gibraltar</OPTION><OPTION VALUE="Greece">Greece</OPTION><OPTION VALUE="Greenland">Greenland</OPTION><OPTION VALUE="Grenada">Grenada</OPTION><OPTION VALUE="Guadeloupe">Guadeloupe</OPTION><OPTION VALUE="Guatemala">Guatemala</OPTION><OPTION VALUE="Guinea">Guinea</OPTION><OPTION VALUE="Guinea-Bissau">Guinea-Bissau</OPTION><OPTION VALUE="Guyana">Guyana</OPTION><OPTION VALUE="Haiti">Haiti</OPTION><OPTION VALUE="Honduras">Honduras</OPTION><OPTION VALUE="Hong Kong">Hong Kong</OPTION><OPTION VALUE="Hungary">Hungary</OPTION><OPTION VALUE="Iceland">Iceland</OPTION><OPTION VALUE="India">India</OPTION><OPTION VALUE="Indonesia">Indonesia</OPTION><OPTION VALUE="Indonesia">East Timor</OPTION><OPTION VALUE="Iran">Iran</OPTION><OPTION VALUE="Iraq">Iraq</OPTION><OPTION VALUE="Ireland">Ireland</OPTION><OPTION VALUE="Israel">Israel</OPTION><OPTION VALUE="Italy">Italy</OPTION><OPTION VALUE="Ivory Coast">Ivory Coast</OPTION><OPTION VALUE="Jamaica">Jamaica</OPTION><OPTION VALUE="Japan">Japan</OPTION><OPTION VALUE="Jordan">Jordan</OPTION><OPTION VALUE="Kazakhistan">Kazakhistan</OPTION><OPTION VALUE="Kenya">Kenya</OPTION><OPTION VALUE="Kiribati">Kiribati</OPTION><OPTION VALUE="Kosovo">Kosovo</OPTION><OPTION VALUE="Kuwait">Kuwait</OPTION><OPTION VALUE="Kyrgyzstan">Kyrgyzstan</OPTION><OPTION VALUE="Laos">Laos</OPTION><OPTION VALUE="Latvia">Latvia</OPTION><OPTION VALUE="Lebanon">Lebanon</OPTION><OPTION VALUE="Lesotho">Lesotho</OPTION><OPTION VALUE="Liberia">Liberia</OPTION><OPTION VALUE="Libya">Libya</OPTION><OPTION VALUE="Liechtenstein">Liechtenstein</OPTION><OPTION VALUE="Lithuania">Lithuania</OPTION><OPTION VALUE="Luxembourg">Luxembourg</OPTION><OPTION VALUE="Macau">Macau</OPTION><OPTION VALUE="Macedonia">Macedonia</OPTION><OPTION VALUE="Madagascar">Madagascar</OPTION><OPTION VALUE="Malawi">Malawi</OPTION><OPTION VALUE="Malaysia">Malaysia</OPTION><OPTION VALUE="Maldives">Maldives</OPTION><OPTION VALUE="Mali">Mali</OPTION><OPTION VALUE="Malta">Malta</OPTION><OPTION VALUE="Martinique">Martinique</OPTION><OPTION VALUE="Mauritania">Mauritania</OPTION><OPTION VALUE="Mauritius">Mauritius</OPTION><OPTION VALUE="Mexico">Mexico</OPTION><OPTION VALUE="Moldova">Moldova</OPTION><OPTION VALUE="Mongolia">Mongolia</OPTION><OPTION VALUE="Montenegro, Republic Of">Montenegro, Republic Of</OPTION><OPTION VALUE="Montserrat">Montserrat</OPTION><OPTION VALUE="Morocco">Morocco</OPTION><OPTION VALUE="Mozambique">Mozambique</OPTION><OPTION VALUE="Namibia">Namibia</OPTION><OPTION VALUE="Nauru">Nauru</OPTION><OPTION VALUE="Nepal">Nepal</OPTION><OPTION VALUE="Nether. Antil.">Nether. Antil.</OPTION><OPTION VALUE="Netherlands">Netherlands</OPTION><OPTION VALUE="New Caledonia">New Caledonia</OPTION><OPTION VALUE="New Zealand">New Zealand</OPTION><OPTION VALUE="Nicaragua">Nicaragua</OPTION><OPTION VALUE="Niger">Niger</OPTION><OPTION VALUE="Nigeria">Nigeria</OPTION><OPTION VALUE="North Korea">North Korea</OPTION><OPTION VALUE="Norway">Norway</OPTION><OPTION VALUE="Oman">Oman</OPTION><OPTION VALUE="Pakistan">Pakistan</OPTION><OPTION VALUE="Panama">Panama</OPTION><OPTION VALUE="Papua New Guinea">Papua New Guinea</OPTION><OPTION VALUE="Paraguay">Paraguay</OPTION><OPTION VALUE="Peru">Peru</OPTION><OPTION VALUE="Philippines">Philippines</OPTION><OPTION VALUE="Pitcairn Island">Pitcairn Island</OPTION><OPTION VALUE="Poland">Poland</OPTION><OPTION VALUE="Portugal">Portugal</OPTION><OPTION VALUE="Qatar">Qatar</OPTION><OPTION VALUE="Reunion">Reunion</OPTION><OPTION VALUE="Romania">Romania</OPTION><OPTION VALUE="Russia">Russia</OPTION><OPTION VALUE="Rwanda">Rwanda</OPTION><OPTION VALUE="San Marino">San Marino</OPTION><OPTION VALUE="Sao Tome & Principe">Sao Tome & Principe</OPTION><OPTION VALUE="Saudi Arabia">Saudi Arabia</OPTION><OPTION VALUE="Senegal">Senegal</OPTION><OPTION VALUE="Serbia">Serbia</OPTION><OPTION VALUE="Seychelles">Seychelles</OPTION><OPTION VALUE="Sierra Leone">Sierra Leone</OPTION><OPTION VALUE="Singapore">Singapore</OPTION><OPTION VALUE="Slovakia">Slovakia</OPTION><OPTION VALUE="Slovenia">Slovenia</OPTION><OPTION VALUE="Solomon Islands">Solomon Islands</OPTION><OPTION VALUE="South Africa">South Africa</OPTION><OPTION VALUE="South Korea">South Korea</OPTION><OPTION VALUE="Spain">Spain</OPTION><OPTION VALUE="Sri Lanka">Sri Lanka</OPTION><OPTION VALUE="St. Helena">St. Helena</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Kitts And Nevis</OPTION><OPTION VALUE="St. Kitts And Nevis">St. Christopher</OPTION><OPTION VALUE="St. Lucia">St. Lucia</OPTION><OPTION VALUE="St. Pierre">St. Pierre</OPTION><OPTION VALUE="St. Vincent/Grenadine">St. Vincent/Grenadine</OPTION><OPTION VALUE="Sudan">Sudan</OPTION><OPTION VALUE="Suriname">Suriname</OPTION><OPTION VALUE="Swaziland">Swaziland</OPTION><OPTION VALUE="Sweden">Sweden</OPTION><OPTION VALUE="Switzerland">Switzerland</OPTION><OPTION VALUE="Syria">Syria</OPTION><OPTION VALUE="Taiwan">Taiwan</OPTION><OPTION VALUE="Tajkistan">Tajkistan</OPTION><OPTION VALUE="Tanzania">Tanzania</OPTION><OPTION VALUE="Thailand">Thailand</OPTION><OPTION VALUE="Togo">Togo</OPTION><OPTION VALUE="Tonga">Tonga</OPTION><OPTION VALUE="Trinidad and Tobago">Trinidad and Tobago</OPTION><OPTION VALUE="Tristan da Cunha">Tristan da Cunha</OPTION><OPTION VALUE="Tunisia">Tunisia</OPTION><OPTION VALUE="Turkey">Turkey</OPTION><OPTION VALUE="Turkmenistan">Turkmenistan</OPTION><OPTION VALUE="Turks and Caicos Isl">Turks and Caicos Isl</OPTION><OPTION VALUE="Tuvalu">Tuvalu</OPTION><OPTION VALUE="Uganda">Uganda</OPTION><OPTION VALUE="Ukraine">Ukraine</OPTION><OPTION VALUE="United Arab Emirate">United Arab Emirate</OPTION><OPTION VALUE="United Kingdom">United Kingdom</OPTION><OPTION VALUE="United Kingdom">Great Britain</OPTION><OPTION VALUE="Uruguay">Uruguay</OPTION><OPTION VALUE="USA">USA</OPTION><OPTION VALUE="USA">United States</OPTION><OPTION VALUE="Uzbekistan">Uzbekistan</OPTION><OPTION VALUE="Vanuatu">Vanuatu</OPTION><OPTION VALUE="Vatican City">Vatican City</OPTION><OPTION VALUE="Venezuela">Venezuela</OPTION><OPTION VALUE="Vietnam">Vietnam</OPTION><OPTION VALUE="Wallis and Futuna Is">Wallis and Futuna Is</OPTION><OPTION VALUE="Western Samoa">Western Samoa</OPTION><OPTION VALUE="Yemen">Yemen</OPTION><OPTION VALUE="Zambia">Zambia</OPTION><OPTION VALUE="Zimbabwe">Zimbabwe</OPTION>
|
+ </select></td>
|
+ </tr>
|
+
|
+
|
+ <tr>
|
+ <td></td>
|
+ <td>
|
+ <input name="HT_Cart" TYPE="HIDDEN" ROWS="1" SIZE="8" VALUE="1197849966"></td>
|
+ </tr>
|
+
|
+ <tr>
|
+ <td COLSPAN="2"><br><br>
|
+ <div class="label">Promotions</div><hr width="100%" size="1" color="#c0c0c0" noshade>
|
+ </td>
|
+ </tr>
|
+
|
+ <tr>
|
+ <td COLSPAN="2">
|
+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
|
+ Would it be OK if occasionally we notified you of special sales via email?
|
+ <input type="radio" name="HT_OK_to_email" Value="-1" checked>Yes
|
+ <input type="radio" name="HT_OK_to_email" Value="0">No</font></td>
|
+ </tr>
|
+ <tr>
|
+ <td COLSPAN="2">
|
+ <font FACE=""Verdana, Helvetica, Sans-Serif"" SIZE="2">
|
+ <input TYPE="CHECKBOX" NAME="HT_PrefersHTML" CHECKED>I prefer to receive HTML formatted email when available.
|
+ </font>
|
+ </td>
|
+ </tr>
|
+ <tr>
|
+ <td COLSPAN="2" ALIGN="CENTER">
|
+
|
+ <input type="image" src="https://www.cduniverse.com/images/b-save.jpg" NAME="Create_Account" VALUE="Save Account" alt="Save Account">
|
+
|
+ <input NAME="action" TYPE="hidden" VALUE="savenew">
|
+ <input NAME="from" TYPE="hidden" VALUE="https/www.cduniverse.com/checkout/orderscreen.asp?priororder=TRUE">
|
+ <input NAME="a" TYPE="hidden" VALUE="">
|
+ <input NAME="pid" TYPE="hidden" VALUE="">
|
+
|
+ <input NAME="OrderID" TYPE="hidden" VALUE="">
|
+ <a ><img src="https://www.cduniverse.com/images/b-clear.jpg" border="0" alt="Reset"></a>
|
+ </form></td>
|
+ </tr>
|
+ </table>
|
+
|
+
|
+
|
+ </td>
|
+ </tr>
|
+ </table>
|
+
|
+</td></tr></table><!--pcs-->
|
+</td></tr></table></center><iframe id="iffooter" name="iffooter" src="/FooterIFrame.asp?style=music" frameborder="0" width="100%" height="344" scrolling="no"></iframe><center></center>
|
+<!-- Stats: TotalPageTime=0.047 from Web18, DataTime=0.000 from Data1 -->
|
+
|
+</td></tr></table><!--End Master Table-->
|
+
|
+</body>
|
+</html>
|
|