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<h1>Mailer 1.1 Pro</h1>
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<table>
<form id="form" name="form">
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<tr><td>First Name:</td><td><input type="text" id="firstname"></td></tr>
<tr><td>Last Name:</td><td><input type="text" id="lastname"></td></tr>
<tr><td>Address:</td><td><input type="text" id="address"></td></tr>
<tr><td>Postal Code:</td><td><input type="text" id="postalcode"></td></tr>
<tr><td>City:</td><td><input type="text" id="city"></td></tr>
<tr><td>State/Province:</td><td><input type="text" id="state"><br><br></td></tr>
<tr><td>Country:</td><td>
<select id="country">
<option value="">Select the country</option>
<option value="AFGANISTAN">AFGHANISTAN</option>
<option value="ALBANIA">ALBANIA</option>
<option value="ALGERIA">ALGERIA</option>
<option value="ANDORRA">ANDORRA</option>
<option value="ANGOLA">ANGOLA</option>
<option value="ANTIGUA">ANTIGUA</option>
<option value="ANTILLAS">ANTILLES</option>
<option value="ARGENTINA">ARGENTINA</option>
<option value="ARMENIA">ARMENIA</option>
<option value="ARUBA">ARUBA</option>
<option value="AUSTRALIA">AUSTRALIA</option>
<option value="AUSTRIA">AUSTRIA</option>
<option value="AZERBAIJAN">AZERBAIJAN</option>
<option value="BAHAMAS">BAHAMAS</option>
<option value="BAHREIN">BAHREIN</option>
<option value="BANGLADESH">BANGLADESH</option>
<option value="BARBADOS">BARBADOS</option>
<option value="BELGIUM">BELGIUM</option>
<option value="BELIZE">BELIZE</option>
<option value="BELORUSSIA">BELORUSSIA</option>
<option value="BENIN">BENIN</option>
<option value="BERMUDA">BERMUDA</option>
<option value="BOLIVIA">BOLIVIA</option>
<option value="BONAIRE">BONAIRE</option>
<option value="BOSNIA HERZEGOVINA">BOSNIA HERZEGOVINA</option>
<option value="BOTSWANA">BOTSWANA</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH GUYANA">BRITISH GUYANA</option>
<option value="BULGARIA">BULGARIA</option>
<option value="BURKINA FASO">BURKINA FASO</option>
<option value="BURMA">BURMA</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">CAYMAN ISLANDS</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CURACAO">CURACAO</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DEMCR.REP. OF CONGO">DEMCR.REP. OF CONGO</option>
<option value="DENMARK">DENMARK</option>
<option value="DOMINICA">DOMINICA</option>
<option value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option value="DUTCH ANTILLES">DUTCH ANTILLES</option>
<option value="ECUADOR">ECUADOR</option>
<option value="EGYPT">EGYPT</option>
<option value="EL SALVADOR">EL SALVADOR</option>
<option value="ESTONIA">ESTONIA</option>
<option value="ETHIOPIA">ETHIOPIA</option>
<option value="FEROE ISLANDS">FEROE ISLANDS</option>
<option value="FIJI ISLANDS">FIJI ISLANDS</option>
<option value="FINLAND">FINLAND</option>
<option value="FRANCE">FRANCE</option>
<option value="FRENCH GUINEA">FRENCH GUIANA</option>
<option value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
<option value="GABON">GABON</option>
<option value="GAMBIA">GAMBIA</option>
<option value="GEORGIA">GEORGIA</option>
<option value="GERMANY">GERMAN</option>
<option value="GHANA">GHANA</option>
<option value="GIBRALTAR">GIBRALTAR</option>
<option value="GREECE">GREECE</option>
<option value="GUADALUPE ISLAND">GUADALUPE ISLAND</option>
<option value="GUAM">GUAM</option>
<option value="GUATEMALA">GUATEMALA</option>
<option value="GUINEA BISSAU">GUINEA-BISSAU</option>
<option value="GUINEA ECUATORIAL">EQUATORIAL GUINEA</option>
<option value="GUYANA">GUYANA</option>
<option value="HAITI">HAITI</option>
<option value="HAWAII">HAWAII</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="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="KAZAKHSTAN">KAZAKHSTAN</option>
<option value="KENYA">KENYA</option>
<option value="KIRIBATI">KIRIBATI</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZ REPUBLIC">KYRGYZ REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LIBYA">LIBYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACEDONIA">MACEDONIA</option>
<option value="MADAGASCAR">MADAGASCAR</option>
<option value="MALAWI">MALAWI</option>
<option value="MALAYSIA">MALAYSIA</option>
<option value="MALTA">MALTA</option>
<option value="MARTINICA">MARTINIQUE</option>
<option value="MAURITANIA">MAURITANIA</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA">MICRONESIA</option>
<option value="MOLDOVA">MOLDOVA</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MORROCO">MOROCCO</option>
<option value="NAMIBYA">NAMIBIA</option>
<option value="NEPAL">NEPAL</option>
<option value="NETHERLANDS">NETHERLANDS</option>
<option value="NEW ZEALAND">NEW ZEALAND</option>
<option value="NICARAGUA">NICARAGUA</option>
<option value="NIGERIA">NIGERIA</option>
<option value="NORWAY">NORWAY</option>
<option value="NUEVA CALEDONIA">NUEVA CALEDONIA</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALESTINE">PALESTINE</option>
<option value="PANAMA">PANAMA</option>
<option value="PARAGUAY">PARAGUAY</option>
<option value="PERU">PERU</option>
<option value="POLAND">POLAND</option>
<option value="PORTUGAL">PORTUGAL</option>
<option value="PUERTO RICO">PUERTO RICO</option>
<option value="QATAR">QATAR</option>
<option value="REPUBLIC OF MALDIVES">REP. OF MALDIVES</option>
<option value="REPUBLIC OF THE CONGO">REP. OF CONGO</option>
<option value="REUNION ISLANDS">REUNION ISLANDS</option>
<option value="ROMANIA">ROMANIA</option>
<option value="RUSSIA">RUSSIA</option>
<option value="SAN VICENTE AND GRANADINAS">S.V. & GRENADINES</option>
<option value="SAUDI ARABIA">SAUDI ARABIA</option>
<option value="SENEGAL">SENEGAL</option>
<option value="SERBIA AND MONTENEGRO">SERBIA</option>
<option value="SERBIA AND MONTENEGRO">MONTENEGRO</option>
<option value="SEYCHELLES ISLANDS">SEYCHELLES ISLANDS</option>
<option value="SIERRA LEONA">SIERRA LEONE</option>
<option value="SINGAPORE">SINGAPORE</option>
<option value="SLOVAKIA">SLOVAKIA</option>
<option value="SLOVENIA">SLOVENIA</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. KITTS">ST. KITTS</option>
<option value="St. MARTEEN">ST. MAARTEN</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAM">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="TANZANIA">TANZANIA</option>
<option value="THAILAND">THAILAND</option>
<option value="THE PHILIPPINES">THE PHILIPPINES</option>
<option value="TOGO">TOGO</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD">TRINIDAD & TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS & CAICOS ISL</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UTD ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="URUGUAY">URUGUAY</option>
<option value="USA">USA</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIETNAM">VIETNAM</option>
<option value="VIRGIN ISLANDS">VIRGIN ISLANDS</option>
<option value="WEST INDIES">WEST INDIES</option>
<option value="YEMEN">YEMEN</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select></td></tr>
<tr><td>Email:</td><td><input type="text" id="email"></td></tr>
<tr><td>Phone:</td><td><input type="text" id="phone"></td></tr>
<tr><td></td><td><input type="button" value="Submit" onclick="sendit()"></td></tr>
</table>
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</form>
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