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<font size="5" color="red"><b>ALL GRAPHICS MUST HAVE ELECTRICRAIN.CO.NR ON THEM</B></FONT>
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<form enctype="multipart/form-data" method="post" action="http://www.freedback.com/mail.php" accept-charset="UTF-8">
	<div>
		<input type="hidden" name="acctid" id="acctid" value="9fyo2omc12l6ck59" />
		<input type="hidden" name="formid" id="formid" value="477598" />
		<input type="hidden" name="required_vars" id="required_vars" value="name,email,field-fa886855b52ce3f,field-29d0c114a9e8466" />
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	<table cellspacing="5" cellpadding="5" border="0">
		<tr>
			<td valign="top">
				<strong>Name:</strong>
			</td>
			<td valign="top">
				<input type="text" name="name" id="name" size="40" value="" />
				
			</td>
		</tr>
		<tr>
			<td valign="top">
				<strong>Email Address:</strong>
			</td>
			<td valign="top">
				<input type="text" name="email" id="email" size="40" value="" />
				
			</td>
		</tr>
		<tr>
			<td valign="top">
				<strong>What happens when you throw a green rock in the red sea?</strong>
			</td>
			<td valign="top">
				<input type="text" name="field-fa886855b52ce3f" id="field-fa886855b52ce3f" size="40" value="" />
				
			</td>
		</tr>
		<tr>
			<td valign="top">
				<strong>What kind of content are you submitting?</strong>
			</td>
			<td valign="top">
				<select name="field-29d0c114a9e8466" id="field-29d0c114a9e8466">
					<option value="Graphic">Graphic</option>
					<option value="Tutorial">Tutorial</option>
					<option value=""></option>
				</select>
				
			</td>
		</tr>
		<tr>
			<td valign="top">
				<strong>IF its a graphic, what kind?</strong>
			</td>
			<td valign="top">
				<select name="field-4c4ed8fa97a4b57" id="field-4c4ed8fa97a4b57">
					<option value="Banner">Banner</option>
					<option value="Guild Layout">Guild Layout</option>
					<option value="Outline">Outline</option>
					<option value="User Lookup">User Lookup</option>
					<option value="Pet Page">Pet Page</option>
					<option value="Blog">Blog</option>
					<option value="Other">Other</option>
					<option value="(Not a Graphic)">(Not a Graphic)</option>
				</select>
				
			</td>
		</tr>
		<tr>
			<td valign="top">
				<strong>Enter your graphic URL or code.  Or enter your Tutorial.</strong>
			</td>
			<td valign="top">
				<textarea name="field-2505a7d6b455e53" id="field-2505a7d6b455e53" rows="6" cols="40"></textarea>
				
			</td>
		</tr>
		<tr>
			<td colspan="2" align="center">
				<input type="submit" value=" Submit Form " />
			</td>
		</tr>
	</table>
</form>
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