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<html><head><title>PMA OnLine Daily Power Report: OnLine Registration Form</title>
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<form method="post" name="PMA-DPR Subscribe/Unsubscribe" action="../_vti_bin/shtml.dll/PMA/dprregold.htm" webbot-action="--WEBBOT-SELF--"><!--webbot bot="SaveResults" U-File="../_private/form_results.txt" S-Format="TEXT/CSV" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Email-Format="TEXT/PRE" S-Email-Address="[email protected]" B-Email-Label-Fields="TRUE" B-Email-Subject-From-Field="FALSE" S-Email-Subject="PMA OnLine Subscribe/Unsubscribe" S-Builtin-Fields="Date Time REMOTE_USER HTTP_USER_AGENT" U-Confirmation-Url="dprcfrm.htm" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" -->
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<p><font face="Arial, Helvetica" size="2">By submitting the online
registration form below you will receive special power news reports, an
index of the news headlines each weekday by e-mail, as well as advance
information about future additions to The PMA OnLine Daily Power Report
and other PMA services.</font></p></div>
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<p><font face="Arial, Helvetica" size="2"><img alt="The PMA OnLine Power Report" height="92" src="../images/dprreg.gif" width="374"></font><br><strong><font face="Arial, Helvetica" size="4">Registration Form</font></strong></p></center></div>
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<td width="218"><font face="Arial, Helvetica" size="2"><font color="#000080"><strong>The PMA OnLine Daily Power
Report</strong></font> is a free service of The Power Marketing
Association. You will never be charged for using this news
service.</font></td>
<td width="218"><font face="Arial, Helvetica" size="2">You may use the
subscription form below to subscribe, change your registration, or
unsubscribe at any time by selecting from the options menu
below.</font></td></tr></tbody></table></center></div></td></tr>
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<td><font color="#000080" face="Arial, Helvetica" size="2"><strong>FREE
SUBSCRIPTION INFORMATION:</strong></font><font face="Arial, Helvetica" size="1"><br></font></td></tr></tbody></table>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Please select one of the following options:</font></td></tr>
<tr>
<td align="middle" height="25" vAlign="center" width="149"><font face="Arial, Helvetica" size="2"> <input name="Action_Requested" type="radio" value="Subscribe">Begin Subscription</font></td>
<td align="middle" height="25" vAlign="center" width="149"><input name="Action_Requested" type="radio" value="Change_Subscription"><font face="Arial, Helvetica" size="2"> Change Subscription </font></td>
<td align="middle" height="25" vAlign="center" width="150"><input name="Action_Requested" type="radio" value="Unsubscribe">Unsubscribe</td></tr>
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<table border="0" cellPadding="0" cellSpacing="0" width="448">
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<td bgColor="#c0c0c0" colSpan="3" height="3" width="100%"></td></tr>
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<td colSpan="3" width="100%"><font face="Arial, Helvetica" size="2">If
you are unsubscribing, please tell us why:</font></td></tr>
<tr>
<td vAlign="center" width="33%"><input name="Why_Unsubscribing" type="radio" value="temporary"><font face="Arial, Helvetica" size="1">Temporary cancellation</font></td>
<td vAlign="center" width="33%"><input name="Why_Unsubscribing" type="radio" value="headlines"><font face="Arial, Helvetica" size="1">Don't need headlines</font></td>
<td vAlign="center" width="34%"><input name="Why_Unsubscribing" type="radio" value="left_industry"><font face="Arial, Helvetica" size="1">No longer in energy industry</font></td></tr>
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<td vAlign="center" width="33%"><input name="Why_Unsubscribing" type="radio" value="other_source"><font face="Arial, Helvetica" size="1">Use another news source</font></td>
<td vAlign="center" width="33%"><input name="Why_Unsubscribing" type="radio" value="dissatisfied"><font face="Arial, Helvetica" size="1">Dissatisified with coverage</font></td>
<td vAlign="center" width="34%"><input name="Why_Unsubscribing" type="radio" value="other"><font face="Arial, Helvetica" size="1">Other
reasons</font></td></tr></tbody></table></td></tr>
<tr>
<td align="left" bgColor="#c0c0c0" colSpan="3" height="3" width="448"></td></tr>
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<td align="left" colSpan="3" height="10" width="448"></td></tr></tbody></table>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">E-Mail Address:</font><br>
<input maxLength="50" name="EMailAddress" size="30"> </td></tr>
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<td align="left" width="200"><font face="Arial, Helvetica" size="2">First
Name:</font> </td>
<td align="left" width="35"><font face="Arial, Helvetica" size="2">MI:</font>
</td>
<td align="left" width="213"><font face="Arial, Helvetica" size="2">Last
Name:</font> </td></tr>
<tr>
<td align="left" width="200">
<input maxLength="50" name="FName" onchange="UpdateName(this)" size="15"> </td>
<td align="left" width="35">
<input maxLength="1" name="MI" onchange="UpdateName(this)" size="2"> </td>
<td align="left" width="213">
<input maxLength="50" name="LName" onchange="UpdateName(this)"> </td></tr>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Job Title:</font></td></tr>
<tr>
<td align="left" colSpan="3" width="448">
<input name="Job_Title" size="35"></td></tr>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Company Name:</font> </td></tr>
<tr>
<td align="left" colSpan="3" width="448">
<input name="Company_Name" size="35"></td></tr></tbody></table>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Address:</font> </td></tr>
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<td align="left" colSpan="3" width="448">
<input maxLength="300" name="Address" onchange="UpdateName(this)" size="40">
</td></tr>
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<td align="left" width="190"><font face="Arial, Helvetica" size="2">City:</font>
</td>
<td align="left" width="100"><font face="Arial, Helvetica" size="2">State/Province:</font> </td>
<td align="left" width="158"><font face="Arial, Helvetica" size="2">ZIP/Postal
Code:</font> </td></tr>
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<td align="left" width="190">
<input maxLength="120" name="City" onchange="UpdateName(this)"> </td>
<td align="left" width="100"><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">
<input maxLength="20" name="Zip" onchange="UpdateName(this)" size="10"> </td></tr>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Country:</font> </td></tr>
<tr>
<td align="left" colSpan="3" width="448">
<input maxLength="120" name="Country" onchange="UpdateName(this)" size="40" value="USA"> </td></tr>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Phone No:</font></td></tr>
<tr>
<td align="left" colSpan="3" width="448">
<input name="Phone"></td></tr>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Fax No.:</font></td></tr>
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<td align="left" colSpan="3" width="448">
<input name="Fax"></td></tr>
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<td align="left" colSpan="3" width="448"><font face="Arial, Helvetica" size="2">Comments:</font></td></tr>
<tr>
<td align="left" colSpan="3" width="448"><textarea cols="45" name="Comments" rows="3"></textarea></td></tr></tbody></table>
<p> </p>
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<td width="20%"><a href="http://www.powermarketers.com/power2.htm" target="_parent"><strong>Back</strong></a> </td>
<td align="middle" width="42%"><input name="Submit" type="submit" value="Submit Registration"></td>
<td align="middle" width="44%"><input name="Reset" type="reset" value="Reset"></td></tr></tbody></table><small><em>
<p></em><font face="Arial, Helvetica">Please allow a few moments for processing
your registration.</font></small></p></form>
<p><font color="#000080" face="Arial" size="2"><strong><a href="http://www.powermarketers.com/main.htm" target="_parent">PMA OnLine
Home</a></strong><i> � 1998 The Power Marketing Association. All rights
reserved.</i> </font></p>
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