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<META NAME="GENERATOR" CONTENT="Mozilla/4.04 [en]C-NE (Win95; I) [Netscape]">
<TITLE> CHIRAG INTERNET</TITLE>
</HEAD>
<BODY BGCOLOR="#C0C0C0">
<CENTER>
<H2>
<U><FONT COLOR="#000000">POPULAR CONSUMER GOODS</FONT></U></H2></CENTER>
<HR>
<BR><FONT SIZE=+1>REGISTRATION DETAILS ON YOUR PURCHASE</FONT>
<ADDRESS FONT: 18PT ARIAL; COLOR: "RED">
NAME <INPUT TYPE =TEXT NAME = ID SIZE = 20></ADDRESS>
<BR>ENTER THE ADDRESS
<BR><TEXTAREA NAME = ARTICLES ROWS =5 COLS=20></TEXTAREA>
<BR>E-MAIL <INPUT TYPE = TEXT NAME = E-MAIL SIZE 20>
<BR>TEL NO <INPUT TYPE = TEXT NAME = TELNO SIZE = 20>
<BR>FAX <INPUT TYPE = TEXT NAME =FAX SIZE 20>
<H4>
LIST THE PRODUCTS FORM THE PURCHASE</H4>
<SELECT SIZE = MULTIPLE NAME = "PRODUCT LISRT"><OPTION VALUE = " "></OPTION><OPTION VALUE = " ">CONFECTIONERIES </OPTION><OPTION VALUE = " ">COSMETICS </OPTION><OPTION VALUE = " ">GIFT
ARTICLES </OPTION><OPTION VALUE = " ">GROCERY </OPTION><OPTION VALUE = " ">VEGETABLES </OPTION><OPTION VALUE = " ">STATIONERY </OPTION><OPTION VALUE = " ">TOILETRIES </OPTION><OPTION VALUE = " ">AUDIO/VIDEO</OPTION>
<BR></SELECT>
<H4>
ENTER THE NAME OF THE PRODUCTS TO BE PURCHASED</H4>
<TEXTAREA NAME = ARTICLES ROW =5 COLS 25></TEXTAREA>
</BODY>
</HTML>
<HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<META NAME="GENERATOR" CONTENT="Mozilla/4.04 [en]C-NE (Win95; I) [Netscape]">
<TITLE> CHIRAG INTERNET</TITLE>
</HEAD>
<BODY BGCOLOR="#C0C0C0">
<CENTER>
<H2>
<U><FONT COLOR="#000000">POPULAR CONSUMER GOODS</FONT></U></H2></CENTER>
<HR>
<BR><FONT SIZE=+1>REGISTRATION DETAILS ON YOUR PURCHASE</FONT>
<ADDRESS FONT: 18PT ARIAL; COLOR: "RED">
NAME <INPUT TYPE =TEXT NAME = ID SIZE = 20></ADDRESS>
<BR>ENTER THE ADDRESS
<BR><TEXTAREA NAME = ARTICLES ROWS =5 COLS=20></TEXTAREA>
<BR>E-MAIL <INPUT TYPE = TEXT NAME = E-MAIL SIZE 20>
<BR>TEL NO <INPUT TYPE = TEXT NAME = TELNO SIZE = 20>
<BR>FAX <INPUT TYPE = TEXT NAME =FAX SIZE 20>
<H4>
LIST THE PRODUCTS FORM THE PURCHASE</H4>
<SELECT SIZE = MULTIPLE NAME = "PRODUCT LISRT"><OPTION VALUE = " "></OPTION><OPTION VALUE = " ">CONFECTIONERIES </OPTION><OPTION VALUE = " ">COSMETICS </OPTION><OPTION VALUE = " ">GIFT
ARTICLES </OPTION><OPTION VALUE = " ">GROCERY </OPTION><OPTION VALUE = " ">VEGETABLES </OPTION><OPTION VALUE = " ">STATIONERY </OPTION><OPTION VALUE = " ">TOILETRIES </OPTION><OPTION VALUE = " ">AUDIO/VIDEO</OPTION>
<BR></SELECT>
<H4>
ENTER THE NAME OF THE PRODUCTS TO BE PURCHASED</H4>
<TEXTAREA NAME = ARTICLES ROW =5 COLS 25></TEXTAREA>
</BODY>
</HTML>
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