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  <TITLE>Untitled Document</TITLE>
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<FORM ACTION="http://cgibin.erols.com/aprimozic/cgi-bin/audrey.pl" METHOD=
"POST" ENCTYPE="x-www-form-encoded">
<P ALIGN=CENTER><IMG SRC="GRAPHICS/FEEDBACK.gif" WIDTH="387" HEIGHT="65"
ALIGN="BOTTOM" NATURALSIZEFLAG="3"><BR>
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<P ALIGN=CENTER>&nbsp;</P>

<BLOCKQUOTE>
  <P>I hope you have enjoyed your visit to my website! I strive to offer
  you the best in real estate service. If there is anything I can do to help
  in your search for your &quot;dream home,&quot; I would love to hear from
  you! Please fill out the following and email it to me. I will respond immediately.</P>
  <P>Good luck in your search for your &quot;dream home!&quot;</P>
  <P>Name</P>
  <P><INPUT NAME="name" TYPE="text" SIZE="49"></P>
  <P><BR>
  Address</P>
  <P><INPUT NAME="Address" TYPE="text" SIZE="49"></P>
  <P><BR>
  Move Area</P>
  <P><INPUT NAME="Move Area" TYPE="text" SIZE="49"></P>
  <P><BR>
  Email</P>
  <P><INPUT NAME="email" TYPE="text" SIZE="49"></P>
  <P><BR>
  Comments</P>
  <P><TEXTAREA NAME="Comments" ROWS="4" COLS="46"
  ></TEXTAREA></P>
  <P><INPUT TYPE="hidden" NAME="recipient" VALUE="[email protected]" <P><INPUT
  NAME="name" TYPE="submit" VALUE="Submit"><INPUT NAME="name" TYPE="reset"
  VALUE="Reset"></BLOCKQUOTE>
</FORM>
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