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<title> PoshPari Contest For DesiHitsRadio.com </title>
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<form action="contest-submit.php" method="post" name="contest" language="JavaScript">
<font size="3" face="Futura Lt BT"><b>
<input type="hidden" name="form_name" value="contest">
<input type="hidden" name="recipient" value="poshpari@yahoo.com">
<input type="hidden" name="subject" value="DesiRadio.com Contest">
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<p> </p>
<b>
<table cellspacing=0 cellpadding=0 width=623 align=center border=0>
</b>
<tbody>
<tr>
<td class=detailsNormalText colspan=6 height=25 width="621" align="center"> <font class="text"><b>
<a href="http://www.desihitsradio.com" target="desiradio">DesiHitsRadio.com</a> Contest
</b></font>
<p align="center">
<font class="text"> Win this Top !!
</font>
<br><br>
<img src="images/blkembtopshort1.jpg" width="213" height="320"/>
</p>
<p>
<font class="text">Fill out the entry form below: </font>
</p>
<p>
</td>
</tr>
<tr>
<td class=detailsNormalText valign=top align=middle colspan=3 width="295">
<tr valign=top>
<td class=meas width=20 height=35 align="center">
<p align="right"> <font size="3" face="Futura Lt BT"><b> </b></font></td>
<td class=meas width=105 height=35 align=left><font size="3" face="Futura Lt BT"><font class=text>*First Name</font></font></td>
<td class=meas width=194 height=30 align=left><font size="3" face="Futura Lt BT"><b>
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S-Data-Type="String" B-Value-Required="TRUE" I-Maximum-Length="40" -->
<input name=first name
class=dataentryInputBoxFont id="first name" size=15 maxlength=40>
</b></font></td>
<td class=meas width=20 height=35 align="center">
<p align="right"> <font size="3" face="Futura Lt BT"><b> </b></font></td>
<td class=meas width=105 height=35 align=left><font size="3" face="Futura Lt BT"><font class=text>*Last Name </font></font></td>
<td class=meas width=194 height=35 align=left><font size="3" face="Futura Lt BT">
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I-Maximum-Length="40" -->
<input name=last name
class=dataentryInputBoxFont id="last name" size=15 maxlength=40>
</b></font></td>
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<tr valign=top>
<td class=meas width=20 height=35 align="center">
<p align="right"> <b><font size="3" face="Futura Lt BT"> </font> </b></td>
<td class=meas width=87 height=35 align=left><font class=text
face="Futura Lt BT" size=3>*E-Mail</font></td>
<td class=meas width=184 height=35 align=left><font size="3" face="Futura Lt BT"><b>
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B-Value-Required="TRUE" I-Maximum-Length="40" -->
<input
class=dataentryInputBoxFont maxlength=40 size=15 name=email>
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<td class=meas width=20 height=35 align="center">
<p align="right"> <b><font size="3" face="Futura Lt BT"> </font> </b></td>
<td class=meas width=105 height=35 align=left><font class=text
face="Futura Lt BT" size=3>*Dress Size</font></td>
<td class=meas width=194 height=35 align=left><font size="3" face="Futura Lt BT"><b> <select name="dress_size" class=dataentryInputBoxFont>
<option value="XS">XS</option>
<option value="S">S</option>
<option value="M">M</option>
<option value="L">L</option>
<option value="XL">XL</option>
</select> </b></font></td>
</tr>
<tr valign=top>
<td class=meas width=20 height=35 align="center"></td>
<td class=meas width=87 height=35 align=left><font class=text
face="Futura Lt BT" size=3>*Address </font></td>
<td class=meas width=184 height=35 align=left><b>
<input
class=dataentryInputBoxFont maxlength=40 size=15 name=address>
</b></td>
<td class=meas width=21 height=35>
<div align=left> </div></td>
<td class=meas width=105 height=35 align=left><font class=text
face="Futura Lt BT" size=3>*City </font> </td>
<td class=meas width=194 height=35 align=left><b>
<input
class=dataentryInputBoxFont maxlength=40 size=15 name=city>
</b></td>
</tr>
<tr valign=top>
<td class=meas width=20 height=35 align="center"></td>
<td class=meas width=87 height=35 align=left><font class=text
face=" Futura Lt BT" size=3>*State</font></td>
<td class=meas width=184 height=35 align=left><b>
<input
class=dataentryInputBoxFont maxlength=40 size=15 name=state>
</b></td>
<td class=meas width=21 height=35>
<div align=left></div></td>
<td class=meas width=105 height=35 align=left><font class=text
face="Futura Lt BT" size=3>*Zip </font></td>
<td class=meas width=194 height=35 align=left><b>
<input
class=dataentryInputBoxFont maxlength=40 size=15 name=zip>
</b></td>
</tr>
<tr valign=top>
<td class=meas width=20 height=35 align="center"></td>
<td class=meas width=87 height=35 align=left><font class=text
face="Futura Lt BT" size=3>*Country </font> </td>
<td class=meas width=184 height=35 align=left><b>
<input
class=dataentryInputBoxFont maxlength=40 size=15 name=country>
</b></td>
<td class=meas width=21 height=35>
<div align=left></div></td>
<td class=meas width=105 height=35 align=left><font class=text
face="Futura Lt BT" size=3>*Phone</font></td>
<td class=meas width=194 height=35 align=left><b>
<input class=dataentryInputBoxFont maxlength=40 size=15 name=phone>
</b></td>
</tr>
<tr valign=center>
<td align=center colspan=6 height=218 width="619"> <center>
<P><font size="3" face="Futura Lt BT">What makes you a Posh Pari?</font></P>
</center>
<p align="center">
<center>
<font size="3" face="Futura Lt BT"><b>
<TEXTAREA COLS=45 ROWS=5 NAME="user_comment">
</TEXTAREA>
</b></font>
</center>
<font size="3" face="Futura Lt BT"><br>
<input type="submit" name="Submit" value="Submit">
<input type="reset" name="Reset" value="Reset">
</font></p>
</center> </td>
</tr>
<b>
</tbody>
</b>
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</form>
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