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<head>
<meta content="front page; news" name="azindex">
<meta content="The Web site of The Power Marketing Association offering news, training and information for the new, competitive electric power industry." name="description">
<meta content="electric, electricity, power, energy, news, marketing, organization, power marketing, utilities, Daily Power Report, PMA, Power Marketing Association, natural gas, electric deregulation, KRT, Reuters, magazine, power marketers, power industry" name="keywords">
<meta content="Microsoft FrontPage 6.0" name="GENERATOR">
<meta content="text/html; charset=windows-1252" http-equiv="Content-Type">
<title>PMA OnLine Energy Yellow Pages Free Registration Form</title>
</head>

<body background="pma/dprreg_files/linebg.gif" bgColor="#FFFFDF" link="#000099" style="font-family: Arial, Helvetica; font-size: 9pt" text="#000000" topMargin="1" vLink="#808080">

<table border="0" cellPadding="0" cellSpacing="0" width="100%">
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    <td align="left" vAlign="top" width="480" bgcolor="#FFFFDF">
    <form method="POST" action="_vti_bin/shtml.dll/5week.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
      <!--webbot bot="SaveResults" u-file="_private/5week.txt" s-format="TEXT/CSV" s-label-fields="TRUE" b-reverse-chronology="FALSE" s-email-format="TEXT/PRE" b-email-label-fields="TRUE" b-email-subject-from-field="FALSE" s-email-subject="DJEN 5 Week Trial" s-builtin-fields="REMOTE_USER HTTP_USER_AGENT" u-confirmation-url="5weekcfm.htm" s-email-address="[email protected]" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><div align="center"><center><table border="0" cellPadding="3" cellSpacing="0" width="551">
<tbody>
        <tr>
          <td width="543" bgcolor="#FFFFDF" align="center"><b><i>DowJones
            Newswires&nbsp;<br>
            4 Week Trial&nbsp;<br>
            </i></b>
          <div align="center"><center><table border="3" cellPadding="0" cellSpacing="0" width="100%">
<tbody>
            <tr>
              <td align="left" colSpan="3" width="448" bgcolor="#FFFFDF">
                <p align="center"><font face="Arial, Helvetica" size="2">
              Please select one of our trial offers:</font></p>
              </td>
            </tr>
            <tr>
              <td align="middle" height="25" vAlign="center" width="149" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">&nbsp;<input name="Action_Requested" type="radio" value="Full_Energy_Trial" checked></font><font face="Arial" size="2"> Full Energy
          Trial</font></td>
              <td align="middle" height="25" vAlign="center" width="149" bgcolor="#FFFFDF"><input name="Action_Requested" type="radio" value="Petroleum/Gas_Trial"><font face="Arial, Helvetica" size="2"> </font><font face="Arial" size="2">Petroleum/Gas Trial&nbsp;</font></td>
              <td align="middle" height="25" vAlign="center" width="150" bgcolor="#FFFFDF"><input name="Action_Requested" type="radio" value="Power/Gas_Trial"><font face="Arial" size="2"> Power/Gas Trial</font></td>
            </tr>
            <tr>
              <td align="middle" height="25" vAlign="center" width="149" bgcolor="#FFFFDF"><font face="Arial" size="2"><input type="radio" value="Send_Me_My_User/ID" name="Action_Requested"> Send Me
                My User/ID&nbsp;</font></td>
              <td align="middle" height="25" vAlign="center" width="149" bgcolor="#FFFFDF"><font face="Arial" size="2"><input type="radio" value="Bandwidth_Trial" name="Action_Requested"> 
                Bandwidth Trial&nbsp;</font></td>
              <td align="middle" height="25" vAlign="center" width="150" bgcolor="#FFFFDF"><font face="Arial" size="2"><input type="radio" value="Send_Me_Info_On_Subscribing" name="Action_Requested"> 
                Send Me Info On Subscribing</font></td>
            </tr>
          </center>
      </center>
</tbody>
          </table>
          </div><center><div align="center"><center><table border="0" cellPadding="0" cellSpacing="0" width="100%">
<tbody>
            <tr>
              <td align="left" colSpan="2" width="448" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2"><br>
                E-Mail Address:</font><br>
              <input maxLength="50" name="EMailAddress" size="30"> </td>
            </tr>
            <tr>
              <td align="left" width="200" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">First
              Name:</font> </td>
              <td align="left" width="213" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">Last
              Name:</font> </td>
            </tr>
            <tr>
              <td align="left" width="200" bgcolor="#FFFFDF"><input maxLength="50" name="FName" onchange="UpdateName(this)" size="15"> </td>
              <td align="left" width="213" bgcolor="#FFFFDF"><input maxLength="50" name="LName" onchange="UpdateName(this)" size="20"> </td>
            </tr>
            <tr>
              <td align="left" colSpan="2" width="448" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">Job Title:</font></td>
            </tr>
            <tr>
              <td align="left" colSpan="2" width="448" bgcolor="#FFFFDF"><input name="Job_Title" size="35"></td>
            </tr>
            <tr>
              <td align="left" colSpan="2" width="448" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">Company Name:</font> </td>
            </tr>
            <tr>
              <td align="left" colSpan="2" width="448" bgcolor="#FFFFDF"><input name="Company_Name" size="35"></td>
            </tr>
</tbody>
          </table>
          </center></div><div align="center"><center><table border="0" cellPadding="0" cellSpacing="0" width="100%">
<tbody>
            <tr>
              <td align="left" colSpan="4" width="448" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">Address:</font> </td>
            </tr>
            <tr>
              <td align="left" colSpan="4" width="448" bgcolor="#FFFFDF"><input maxLength="300" name="Address" onchange="UpdateName(this)" size="40"> </td>
            </tr>
            <tr>
              <td align="left" width="190" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">City:</font>
              </td>
              <td align="left" width="100" bgcolor="#FFFFDF" colspan="2"><font face="Arial, Helvetica" size="2">State/Province:</font>
              </td>
              <td align="left" width="158" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">ZIP/Postal
              Code:</font> </td>
            </tr>
            <tr>
              <td align="left" width="190" bgcolor="#FFFFDF"><input maxLength="120" name="City" onchange="UpdateName(this)" size="20"> </td>
              <td align="left" width="100" bgcolor="#FFFFDF" colspan="2"><select name="StateProvince" onchange="UpdateName(this)" size="1">
                <option selected></option>
                <option>AA</option>
                <option>AB</option>
                <option>AE</option>
                <option>AK</option>
                <option>AL</option>
                <option>AP</option>
                <option>AR</option>
                <option>AS</option>
                <option>AZ</option>
                <option>BC</option>
                <option>CA</option>
                <option>CO</option>
                <option>CT</option>
                <option>DC</option>
                <option>DE</option>
                <option>FL</option>
                <option>FM</option>
                <option>GA</option>
                <option>GU</option>
                <option>HI</option>
                <option>IA</option>
                <option>ID</option>
                <option>IL</option>
                <option>IN</option>
                <option>KS</option>
                <option>KY</option>
                <option>LA</option>
                <option>MA</option>
                <option>MB</option>
                <option>ME</option>
                <option>MD</option>
                <option>MH</option>
                <option>MI</option>
                <option>MN</option>
                <option>MO</option>
                <option>MS</option>
                <option>MT</option>
                <option>NB</option>
                <option>NC</option>
                <option>ND</option>
                <option>NE</option>
                <option>NF</option>
                <option>NH</option>
                <option>NJ</option>
                <option>NM</option>
                <option>NV</option>
                <option>NY</option>
                <option>NT</option>
                <option>NS</option>
                <option>OH</option>
                <option>OK</option>
                <option>ON</option>
                <option>OR</option>
                <option>PA</option>
                <option>PE</option>
                <option>PQ</option>
                <option>PR</option>
                <option>PW</option>
                <option>RI</option>
                <option>SC</option>
                <option>SD</option>
                <option>SK</option>
                <option>TN</option>
                <option>TX</option>
                <option>UT</option>
                <option>VA</option>
                <option>VI</option>
                <option>VT</option>
                <option>WA</option>
                <option>WI</option>
                <option>WV</option>
                <option>WY</option>
                <option>YT</option>
              </select> </td>
              <td align="left" width="158" bgcolor="#FFFFDF"><input maxLength="20" name="Zip" onchange="UpdateName(this)" size="10"> </td>
            </tr>
            <tr>
              <td align="left" colSpan="4" width="448" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">Country:</font> </td>
            </tr>
            <tr>
              <td align="left" colSpan="4" width="448" bgcolor="#FFFFDF"><input maxLength="120" name="Country" onchange="UpdateName(this)" size="40" value="USA"> </td>
            </tr>
            <tr>
              <td align="left" colSpan="2" width="224" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">Phone No:</font></td>
              <td align="left" colSpan="2" width="224" bgcolor="#FFFFDF"><font face="Arial, Helvetica" size="2">Fax No.:</font></td>
            </tr>
            <tr>
              <td align="left" colSpan="2" width="224" bgcolor="#FFFFDF"><input name="Phone" size="20"></td>
              <td align="left" colSpan="2" width="224" bgcolor="#FFFFDF"><input name="Fax" size="20"></td>
            </tr>
            <tr>
              <td align="left" colSpan="4" width="448" bgcolor="#FFFFDF">
              <p>&nbsp;</p>
              <div align="center"><center><p><input name="Submit" type="submit" value="Submit">&nbsp;&nbsp; <input name="Reset" type="reset" value="Reset">
              </center>
                </div>
              </td>
            </tr>
</tbody>
          </table>
          </center></div></td>
        </tr>
</tbody>
      </table>
        </div>
    </form>
    </td>
  </tr>
</tbody>
</table>
</body>
</html>

Anon7 - 2021