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document.write('<div style="width:160px;">');
document.write('<div align="left"><span class="style11 style2" style="background-color: ; float:right;margin-right:1;margin-top:2">');
document.write('<link href="../NL-style.css" rel="stylesheet" type="text/css">');
document.write('<form name="form1" method="post" action="../NL-process.php">');
document.write('<table width="168" border="0" cellpadding="0" cellspacing="0" class="tbmain">');
document.write('<tr>'); 
document.write('<td class="left">e-mail</td>');
document.write('<td><input name="email" type="text" class="text"></td>');
document.write('</tr>');
document.write('<tr>'); 
document.write('<td class="left">name</td>');
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document.write('<td><input name="name" type="text" id="name" class="text"></td>');
document.write('</tr>');
document.write('<tr>'); 
document.write('<td class="left">surname</td>');
document.write('<td><input name="surname" type="text" id="surname" class="text"></td>');
document.write('</tr>');
document.write('<tr>'); 
document.write('<td class="left">interest</td>');
document.write('<td><input name="interest" type="text" id="interest" class="text"></td>');
document.write('</tr>');
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document.write('<td colspan="2">');
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