87 lines
2 KiB
Text
87 lines
2 KiB
Text
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN" [
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<!ENTITY date "$Date: 1997-07-01 03:52:08 $">
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<!ENTITY title "Register">
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<!ENTITY % includes SYSTEM "includes.sgml"> %includes;
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]>
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<!-- $Id: register.sgml,v 1.3 1997-07-01 03:52:08 max Exp $ -->
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<html>
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&header;
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<CENTER><FONT SIZE=4>
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Register to receive the FreeBSD Newsletter and subscribe to announce@freebsd.org mailing list.</FONT></CENTER>
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<FORM METHOD=POST ACTION="http://www.freebsd.org/cgi/reg.cgi">
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<INPUT type=hidden name="recipient" value="register@freebsd.org"><BR>
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<INPUT type=hidden name="version" value="2.2.2-RELEASE">
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<CENTER>
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<TABLE BORDER=0 WIDTH="95%">
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<TR VALIGN=top>
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<TR VALIGN=top>
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<TD>First Name: </TD>
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<TD COLSPAN=3 ALIGN=left><INPUT NAME=First TYPE=text SIZE=30></TD>
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</TR>
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<TR VALIGN=top>
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<TD ALIGN=left>Last Name: </TD>
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<TD COLSPAN=3 ALIGN=left><INPUT NAME=Last TYPE=text SIZE=30></TD>
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</TR>
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<TR>
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<TD>Email address: </TD>
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<TD COLSPAN=3 ALIGN=left><INPUT NAME=emaila TYPE=text SIZE=30></TD>
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</TR>
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<TR VALIGN=top>
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<TD ALIGN=left>Address </TD>
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<TD COLSPAN=3 ALIGN=left><INPUT NAME=Address TYPE=text SIZE=30></TD>
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</TR>
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<TR VALIGN=top>
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<TD ALIGN=left>City: </TD>
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<TD COLSPAN=3 ALIGN=left><INPUT NAME=City TYPE=text SIZE=30></TD>
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</TR>
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<TR VALIGN=top>
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<TD ALIGN=left>State/Province: </TD>
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<TD ALIGN=left><INPUT
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NAME=State
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TYPE=text
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SIZE=6></TD>
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<TD ALIGN=left>Zip/Country Code: </TD>
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<TD ALIGN=left><INPUT NAME=Zip
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TYPE=text
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SIZE=12></TD>
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</TR>
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<TR><TD></TD></TR>
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<TR><TD COLSPAN=4>Do you wish to receive FreeBSD related commercial email?<INPUT NAME="commerce_email" TYPE="CHECKBOX" VALUE="yes"></TD></TR>
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<TR><TD COLSPAN=4>Subscribe listed email address to the announce@freebsd.org mailing list?<INPUT NAME="announce" TYPE="CHECKBOX" VALUE="yes"></TD></TR>
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<TR><TD COLSPAN=4>Sign up for FreeBSD Newsletter? <SELECT NAME="newsletter" SIZE= 1>
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<OPTION>Postal Copy
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<OPTION>E-mail
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<OPTION>No Thanks
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<OPTION>
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</SELECT>
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</TD></TR>
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</TABLE><P>
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<INPUT TYPE=submit VALUE="Send">
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<INPUT TYPE=reset VALUE="Reset">
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</CENTER>
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</FORM>
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&footer;
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</BODY>
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</HTML>
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