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1 <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> |
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2 <html> |
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3 <head> |
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4 <title>TPHOLs 2009 Registration</title> |
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5 </head> |
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6 |
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7 <BODY TEXT="#000000" |
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8 BGCOLOR="#4169E1" |
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9 LINK="#0000EF" |
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10 VLINK="#51188E" |
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11 ALINK="#FF0000"> |
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12 |
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13 <TABLE WIDTH="100%" |
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14 BGCOLOR="#4169E1" |
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15 BORDER="0" |
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16 FRAME="border" |
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17 CELLPADDING="10" |
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18 CELLSPACING="2" |
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19 RULES="all"> |
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20 |
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21 <!-- left column --> |
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22 <TR> |
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23 <TD BGCOLOR="#FFFFFF" |
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24 WIDTH="20%" |
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25 VALIGN="TOP" |
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26 ROWSPAN="2"> |
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27 |
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28 <p align=center> |
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29 <a href="../pictures/marienplatz.jpg"> |
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30 <img src="../pictures/marienplatz_small.jpg" alt="Marienplatz" border=0></a> |
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31 <br> |
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32 <small>Marienplatz (city centre)</small><br> |
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33 </p> |
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34 |
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35 <p align=center> |
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36 <a href="../pictures/englischer_garten.jpg"> |
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37 <img src="../pictures/englischer_garten_small.jpg" alt="Englischer Garten" border=0></a> |
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38 <br> |
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39 <small>The English Garden</small><br> |
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40 </p> |
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41 |
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42 <p align=center> |
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43 <a href="../pictures/chinesischer_turm.jpg"> |
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44 <img src="../pictures/chinesischer_turm_small.jpg" alt="Chinesischer Turm" border=0></a> |
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45 <br> |
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46 <small>Chinese Tower (famous beer garden)</small><br> |
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47 </p> |
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48 |
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49 <p align=center> |
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50 <a href="../pictures/cs_building.jpg"> |
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51 <img src="../pictures/cs_building_small.jpg" alt="Computer science building" border=0></a> |
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52 <br><small>The Computer Science building of the TUM</small><br> |
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53 </p> |
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54 |
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55 <p align=center> |
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56 <a href="../pictures/magistrale.jpg"> |
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57 <img src="../pictures/magistrale_small.jpg" alt="Main hall of the computer science building" border=0></a> |
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58 <br> |
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59 <small>The main hall in the CS-building</small><br> |
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60 </p> |
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61 |
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62 <p align=center> |
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63 <a href="../pictures/isar.jpg"> |
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64 <img src="../pictures/isar_small.jpg" alt="The river Isar" border=0></a> |
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65 <br> |
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66 <small>The Isar river</small><br> |
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67 </p> |
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68 |
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69 <p align=center> |
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70 <A HREF="../pictures/tphols09_poster.jpg"> |
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71 <IMG ALT="poster" SRC="../pictures/tphols09_poster_small.jpg" align="top"></A> |
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72 <BR> |
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73 <small>The conference poster</small><br> |
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74 </p> |
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75 |
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76 </TD> |
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77 |
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78 |
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79 <!-- right column --> |
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80 <TD BGCOLOR="#FFFFFF" WIDTH="75%" VALIGN="TOP"> |
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81 |
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82 <CENTER> |
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83 [<a href="../index.html#dates">Important Dates</a>] |
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84 [<a href="../index.html#submission">Paper Submission</a>] |
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85 [<a href="../index.html#committees">Committees</a>] |
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86 [<a href="../index.html#venueandprogramme">Venue and Programme</a>] |
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87 [<a href="../index.html#workshops">Workshops</a>] |
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88 [<a href="../index.html#travelandaccommodation">Travel and Accommodation</a>] |
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89 [<a href="../index.html#registration">Registration</a>] |
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90 [<a href="../index.html#support">Our Sponsors</a>] |
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91 </CENTER> |
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92 <HR><p> |
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93 |
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94 |
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95 <h1>TPHOLs 2009 Registration</h1> |
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96 |
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97 <form method="post" action="confirm.php"> |
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98 <dl class="info"> |
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99 <dt><b>Contact Information</b></dt> |
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100 <p> |
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101 <dd> |
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102 <table> |
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103 <tr><td width="250">Title</td> |
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104 <td><input name="title" type="text" size="30"></td></tr> |
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105 <tr><td>First name *</td> |
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106 <td><input name="firstName" type="text" size="30"></td></tr> |
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107 <tr><td>Last name *</td> |
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108 <td><input name="lastName" type="text" size="30"></td></tr> |
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109 <tr><td>Email address *</td> |
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110 <td><input name="email" type="text" size="30"></td></tr> |
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111 <tr><td>Phone number</td> |
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112 <td><input name="phone" type="text" size="30"></td></tr> |
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113 <tr><td>Fax number</td> |
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114 <td><input name="fax" type="text" size="30"></td></tr> |
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115 </table> |
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116 </dd> |
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117 <p> |
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118 <dt><b>Billing Address (if different from the one specified at MünchenTicket)</B></dt> |
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119 <p> |
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120 <dd> |
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121 <table> |
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122 <tr><td width="250">Organisation</td> |
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123 <td><input name="organisation" type="text" size="30"></td></tr> |
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124 <tr><td>Street / P.O. Box</td> |
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125 <td><input name="street" type="text" size="30"></td></tr> |
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126 <tr><td>City</td> |
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127 <td><input name="city" type="text" size="30"></td></tr> |
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128 <tr><td>Postal/ZIP code</td> |
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129 <td><input name="postcode" type="text" size="30"></td></tr> |
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130 <tr><td>Country</td> |
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131 <td><input name="country" type="text" size="30"></td></tr> |
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132 </table> |
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133 </dd> |
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134 <p> |
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135 <dt><b>Registration Information</b></dt> |
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136 <p> |
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137 <dd> |
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138 <table> <tr><td width="250">Registration Type</td> |
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139 <td><select name="regType" size="1"> |
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140 <option value="conf">Conference (Regular)</option> |
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141 <option value="confws">Conference + Workshop (Regular)</option> |
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142 <option value="confstud">Conference (Student)</option> |
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143 <option value="confwsstud">Conference + Workshop (Student)</option> |
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144 <option value="ws">Workshop only</option> |
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145 </select></td></tr> |
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146 <tr><td width="250">Poster/Paper</td> |
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147 <td><select name="posterpaper" size="1"> |
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148 <option value="poster">Poster</option> |
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149 <option value="paper">Paper</option> |
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150 <option value="NONE">NONE</option> |
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151 </select></td></tr> |
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152 <tr><td width="250">Special dietary requirements:<br><em>(e.g. vegetarian)</em></td> |
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153 <td><input name="dietaryRequirements" type="text" size="30"></td></tr> |
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154 <tr><td>Special needs:<br><em>(e.g. wheelchair access)</em></td> |
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155 <td><input name="specialNeeds" type="text" size="30"></td></tr> |
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156 <tr><td>Name to appear on Badge: *<br></td> |
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157 <td><input name="badgeName" type="text" size="30"></td></tr> |
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158 </table> |
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159 </dd> |
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160 <p> |
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161 <dt><b>Submit Information</B></dt> |
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162 <p> |
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163 <dd> |
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164 <table> |
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165 <tr><td width="250"> </td> |
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166 <td><input type="submit" value="Submit"></td></tr> |
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167 <tr><td>* Required fields.</td></tr> |
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168 </table> |
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169 </dd> |
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170 </dl> |
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171 </form> |
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172 |
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173 </TD> |
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174 </TABLE> |
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175 |
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176 <hr> |
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177 <!-- Created: Wed May 6 18:00:59 CEST 2009 --> |
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178 <!-- hhmts start --> |
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179 Last modified: Tue May 12 00:16:58 CEST 2009 |
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180 <!-- hhmts end --> |
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181 <a href="http://validator.w3.org/check/referer">[Validate this page.]</a> |
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182 </body> |
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183 </html> |