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CC Mailer code.html
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<form id="ccsfg" name="ccsfg" method="post" action="mailer_PHP_forms/mailerCC.php">
<h4>Registration Form</h4><p>To join our mailing list, please complete the information below and click 'Join My Mailing List'.</p>
<!-- ########## Email Address ########## -->
<label for="EmailAddress">Email Address</label>
<input type="text" name="EmailAddress" value="" id="EmailAddress" /><br />
<!-- ########## First Name ########## -->
<label for="FirstName">First Name</label>
<input type="text" name="FirstName" value="" id="FirstName" /><br />
<!-- ########## Last Name ########## -->
<label for="LastName">Last Name</label>
<input type="text" name="LastName" value="" id="LastName" /><br />
<!-- ########## Home Phone ########## -->
<label for="HomePhone">Home Phone</label>
<input type="text" name="HomePhone" value="" id="HomePhone" /><br />
<!-- ########## Address Line 1 ########## -->
<label for="Addr1">Address Line 1</label>
<input type="text" name="Addr1" value="" id="Addr1" /><br />
<!-- ########## City ########## -->
<label for="City">City</label>
<input type="text" name="City" value="" id="City" /><br />
<!-- ########## State/Province (US/Canada) ########## -->
<label for="StateCode">State/Province (US/Canada)</label>
<select name="StateCode">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AB">Alberta</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="BC">British Columbia</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NB">New Brunswick</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NL">Newfoundland and Labrador</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NT">Northwest Territories</option>
<option value="NS">Nova Scotia</option>
<option value="NU">Nunavut</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="ON">Ontario</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PE">Prince Edward Island</option>
<option value="QC">Quebec</option>
<option value="RI">Rhode Island</option>
<option value="SK">Saskatchewan</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="YT">Yukon Territory</option>
</select><br />
<!-- ########## Contact Lists ########## -->
<h5>Your Interests</h5>
<p>Please select the areas of interest for which you would like to receive occasional email from us.</p>
<input type="checkbox" checked="checked" value="Tangierino" name="Lists[]" id="list_Tangierino" />
<label for="list_Tangierino">Tangierino</label><br />
<input type="submit" name="signup" id="signup" value="Join My Mailing List" />
</form>