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	<TITLE>Request for Free Copy of Fitness and Speed Skating Times</TITLE>
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<CENTER>
<P><IMG SRC="fasst.gif" WIDTH="362" HEIGHT="94" ALIGN="BOTTOM" ALT="FaSST Online Logo" BORDER="0"><BR><br>
<FONT SIZE="4"><I><B>Fitness and Speed Skating Times Subscription Information/Rates</B></I></FONT>
<br>
<TABLE BORDER="6" CELLPADDING="3">
	<CAPTION ALIGN="BOTTOM"><FONT COLOR="#FF0000">All Rates ($U.S.)</FONT></CAPTION>
	<TR>
		<TD WIDTH="260"><FONT SIZE="3" COLOR="#FF0000" FACE="Arial, Helvetica"><center><b>Subscription Type</b></center></FONT></TD>
		<TD WIDTH="120">
			<P ALIGN="CENTER"><FONT SIZE="2" COLOR="#FF0000" FACE="Arial, Helvetica">1 year<br>(8 issues)</FONT>
		</TD>
		<TD width="120">
			<P ALIGN="CENTER"><FONT SIZE="2" COLOR="#FF0000" FACE="Arial, Helvetica">2 years<br>(16 issues)</FONT>
		</TD>
	</TR>
	<TR>
		<TD><FONT COLOR="#FF0000" FACE="Arial, Helvetica">First Class (U.S., Canada or Mexico)</FONT></TD>
		<TD>
			<P ALIGN="CENTER"><FONT COLOR="#FF0000" FACE="Arial, Helvetica">$25</FONT>
		</TD>
		<TD>
			<P ALIGN="CENTER"><FONT COLOR="#FF0000" FACE="Arial, Helvetica">$45</FONT>
		</TD>
	</TR>
	<TR>
		<TD><FONT COLOR="#FF0000" FACE="Arial, Helvetica">International</FONT><FONT FACE="Arial, Helvetica"> <BR>
			</FONT><FONT COLOR="#FF0000" FACE="Arial, Helvetica">(U.S. Postal Money Order, VISA/MC<br>
			AmEx/Discover Only)</FONT></TD>
		<TD>
			<P ALIGN="CENTER"><FONT COLOR="#FF0000" FACE="Arial, Helvetica">$40</FONT>
		</TD>
		<TD>
			<P ALIGN="CENTER"><FONT COLOR="#FF0000" FACE="Arial, Helvetica">$75</FONT>
		</TD>
	</TR>
	<TR>
		<TD><FONT COLOR="#FF0000" FACE="Arial, Helvetica">Club Subscriptions (U.S. Only)<BR>
			Delivered by box to one address with<br>
			list of each subscriber in box</FONT></TD>
		<TD valign="center">
			<FONT COLOR="#FF0000" FACE="Arial, Helvetica">$18/individual*<br>
			(min. 10 skaters)</FONT>
		</TD>
		<TD>
			<P ALIGN="CENTER"><FONT COLOR="#FF0000" FACE="Arial, Helvetica">N/A</FONT>
		</TD>
	</TR>
</TABLE>

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<font face="arial, helvetica" size=4>Subscription Form</font>
</center>


<form method="POST" action="/cgi-bin/subscribe.pl" onsubmit="return addrvalidate(this)">
<!-- I changed the action from looking at the fasst.com website to ours to make this work-->

<table bgcolor="yellow" border=1 width=70%>
<tr>
	<td>
	<br>
	<blockquote>
		<input type="checkbox" name="ws" value="Start a subscription to FaSST">I want to subscribe to FaSST<br>
		<font face="arial, helvetica" size=1>
			<i>You will be required to e-mail your credit card number to start your subscription.</i>
		</font>
	</blockquote>


<table width="100%" border="0">

	<tr>
	<td colspan="2">
		<font face="arial, helvetica" size=2>
		<center><b>Subscription Type</b></center>
		<BR>
		</font>
	</td>
	</tr>

	<tr>
		<td>
		<font face="arial, helvetica" size=2>
		<B>First Class U.S./Canada/Mexico</B> 
		</font>
		</td>
		<td>
		<font face="arial, helvetica" size=2>
			<INPUT TYPE="radio" NAME="type" SIZE="1" value="1"> 1 yr. 
			<INPUT TYPE="radio" NAME="type" SIZE="1" value="2"> 2 yrs. <br>
		</font>
		</td>
	</tr>

	<tr>
		<td>
		<font face="arial, helvetica" size=2>
		<B>International</B>
		</font>
		</td>
		<td>
		<font face="arial, helvetica" size=2>
			<INPUT TYPE="radio" NAME="type" SIZE="1" value="3"> 1 yr. 
			<INPUT TYPE="radio" NAME="type" SIZE="1" value="4"> 2 yrs. <br>
		</font>
		</td>
	</tr>

	<tr>
		<td>
		<font face="arial, helvetica" size=2>
		<B>Club Subscriptions (U.S. Only)</B>
		</font>
		</td>
		<td>
		<font face="arial, helvetica" size=2>
			<INPUT TYPE="radio" NAME="type" SIZE="1" value="5"> 1 yr. 
			<INPUT TYPE="radio" NAME="type" SIZE="1" value="6"> 2 yrs. <br>
		</font>
		</td>
	</tr>
</table>

	</td>
</tr>

</table>
<br>


<table bgcolor="red" border="3" width="90%" cellpadding="0" cellspacing="0">
<tr>
<td>
<table border=0 width=85% cellpadding="0" cellspacing="0">
<tr valign="top">
	<td width="10">&nbsp;</td>
	<td width=25%><br>First Name</td>
	<td><br><INPUT TYPE="TEXT" NAME="firstname" SIZE="25" MAXLENGTH="20"></td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>Last Name</td>
	<td><INPUT TYPE="TEXT" NAME="lastname" SIZE="25" MAXLENGTH="20"></td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>Mailing Address</td>
	<td><INPUT TYPE="TEXT" NAME="address" SIZE="40" MAXLENGTH="60"></td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>City</td>
	<td><INPUT TYPE="TEXT" NAME="city" SIZE="25" MAXLENGTH="20"></td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>State</td>
	<td><SELECT NAME="state" SIZE="1"> 
                  <OPTION VALUE="" SELECTED="SELECTED">Select if Applicable </OPTION> 
                  <OPTION>Alabama</OPTION> 
                  <OPTION>Alaska</OPTION> 
                  <OPTION>Arizona</OPTION> 
                  <OPTION>Arkansas</OPTION> 
                  <OPTION>California</OPTION> 
                  <OPTION>Colorado</OPTION> 
                  <OPTION>Connecticut</OPTION> 
                  <OPTION>Delaware</OPTION> 
                  <OPTION>District of Columbia</OPTION> 
                  <OPTION>Florida</OPTION> 
                  <OPTION>Georgia</OPTION> 
                  <OPTION>Hawaii</OPTION> 
                  <OPTION>Iowa</OPTION> 
                  <OPTION>Idaho</OPTION> 
                  <OPTION>Illinois</OPTION> 
                  <OPTION>Indiana</OPTION> 
                  <OPTION>Kansas</OPTION> 
                  <OPTION>Kentucky</OPTION> 
                  <OPTION>Louisiana</OPTION> 
                  <OPTION>Maine</OPTION> 
                  <OPTION>Maryland</OPTION> 
                  <OPTION>Massachusetts</OPTION> 
                  <OPTION>Michigan</OPTION> 
                  <OPTION>Minnesota</OPTION> 
                  <OPTION>Mississippi</OPTION> 
                  <OPTION>Missouri</OPTION> 
                  <OPTION>Montana</OPTION> 
                  <OPTION>Nebraska</OPTION> 
                  <OPTION>Nevada</OPTION> 
                  <OPTION>New Hampshire</OPTION> 
                  <OPTION>New Jersey</OPTION> 
                  <OPTION>New Mexico</OPTION> 
                  <OPTION>New York</OPTION> 
                  <OPTION>North Carolina</OPTION> 
                  <OPTION>North Dakota</OPTION> 
                  <OPTION>Ohio</OPTION> 
                  <OPTION>Oklahoma</OPTION> 
                  <OPTION>Oregon</OPTION> 
                  <OPTION>Pennsylvania</OPTION> 
                  <OPTION>Rhode Island</OPTION> 
                  <OPTION>South Carolina</OPTION> 
                  <OPTION>South Dakota</OPTION> 
                  <OPTION>Tennessee</OPTION> 
                  <OPTION>Texas</OPTION> 
                  <OPTION>Utah</OPTION> 
                  <OPTION>Vermont</OPTION> 
                  <OPTION>Virginia</OPTION> 
                  <OPTION>Washington</OPTION> 
                  <OPTION>West Virginia</OPTION> 
                  <OPTION>Wisconsin</OPTION> 
                  <OPTION>Wyoming</OPTION> </SELECT>
		</td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>Zip</td>
	<td><INPUT TYPE="TEXT" NAME="zip" SIZE="10" MAXLENGTH="10"></td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>Country</td>
	<td><SELECT NAME="country"> 
                  <OPTION VALUE="NO COUNTRY WAS SELECTED" SELECTED="SELECTED">Select your Country</OPTION> 
                  <OPTION VALUE="United States">United States</OPTION> 
                  <OPTION VALUE="Argentina">Argentina</OPTION> 
                  <OPTION VALUE="Australia">Australia</OPTION> 
                  <OPTION VALUE="Austria">Austria</OPTION> 
                  <OPTION VALUE="Bolivia">Bolivia</OPTION> 
                  <OPTION VALUE="Brazil">Brazil</OPTION> 
                  <OPTION VALUE="Canada">Canada</OPTION> 
                  <OPTION VALUE="Cayman Islands">Cayman Islands</OPTION> 
                  <OPTION VALUE="Chile">Chile</OPTION> 
                  <OPTION VALUE="China">China</OPTION> 
                  <OPTION VALUE="Columbia">Columbia</OPTION> 
                  <OPTION VALUE="Czech Republic">Czech Republic</OPTION> 
                  <OPTION VALUE="Denmark">Denmark</OPTION> 
                  <OPTION VALUE="Dominican Republic">Dominican Republic</OPTION> 
                  <OPTION VALUE="Ecuador">Ecuador</OPTION> 
                  <OPTION VALUE="Egypt (Arab Republic)">Egypt (Arab Republic)</OPTION> 
                  <OPTION VALUE="Fiji">Fiji</OPTION> 
                  <OPTION VALUE="Finland">Finland</OPTION> 
                  <OPTION VALUE="France">France</OPTION> 
                  <OPTION VALUE="Germany">Germany</OPTION> 
                  <OPTION VALUE="Greece">Greece</OPTION> 
                  <OPTION VALUE="Guam">Guam</OPTION> 
                  <OPTION VALUE="Guatemala">Guatemala</OPTION> 
                  <OPTION VALUE="Hungary">Hungary</OPTION> 
                  <OPTION VALUE="Iceland">Iceland</OPTION> 
                  <OPTION VALUE="India">India</OPTION> 
                  <OPTION VALUE="Indonesia">Indonesia</OPTION> 
                  <OPTION VALUE="Israel">Israel</OPTION> 
                  <OPTION VALUE="Italy">Italy</OPTION> 
                  <OPTION VALUE="Jamaica">Jamaica</OPTION> 
                  <OPTION VALUE="Japan">Japan</OPTION> 
                  <OPTION VALUE="Kenya">Kenya</OPTION> 
                  <OPTION VALUE="Korea">Korea</OPTION> 
                  <OPTION VALUE="Kuwait">Kuwait</OPTION> 
                  <OPTION VALUE="Lebanon">Lebanon</OPTION> 
                  <OPTION VALUE="Malaysia">Malaysia</OPTION> 
                  <OPTION VALUE="Mexico">Mexico</OPTION> 
                  <OPTION VALUE="Netherlands">Netherlands</OPTION> 
                  <OPTION VALUE="Neth. Antilles">Neth. Antilles</OPTION> 
                  <OPTION VALUE="New Guinea">New Guinea</OPTION> 
                  <OPTION VALUE="New Zealand">New Zealand</OPTION> 
                  <OPTION VALUE="Nigeria">Nigeria</OPTION> 
                  <OPTION VALUE="Norway">Norway</OPTION> 
                  <OPTION VALUE="Philippines">Philippines</OPTION> 
                  <OPTION VALUE="Poland">Poland</OPTION> 
                  <OPTION VALUE="Panama">Panama</OPTION> 
                  <OPTION VALUE="Paraguay">Paraguay</OPTION> 
                  <OPTION VALUE="Peru">Peru</OPTION> 
                  <OPTION VALUE="Portugal">Portugal</OPTION> 
                  <OPTION VALUE="Puerto Rico">Puerto Rico</OPTION> 
                  <OPTION VALUE="Romania">Romania</OPTION> 
                  <OPTION VALUE="Russia">Russia</OPTION> 
                  <OPTION VALUE="Saudi Arabia">Saudi Arabia</OPTION> 
                  <OPTION VALUE="Scotland">Scotland</OPTION> 
                  <OPTION VALUE="Singapore">Singapore</OPTION> 
                  <OPTION VALUE="South Africa">South Africa</OPTION> 
                  <OPTION VALUE="Spain">Spain</OPTION> 
                  <OPTION VALUE="Sweden">Sweden</OPTION> 
                  <OPTION VALUE="Switzerland">Switzerland</OPTION> 
                  <OPTION VALUE="Tahiti">Tahiti</OPTION> 
                  <OPTION VALUE="Taiwan">Taiwan</OPTION> 
                  <OPTION VALUE="Thailand">Thailand</OPTION> 
                  <OPTION VALUE="Turkey">Turkey</OPTION> 
                  <OPTION VALUE="Uganda">Uganda</OPTION> 
                  <OPTION VALUE="United Arab Emirates">United Arab Emirates</OPTION> 
                  <OPTION VALUE="United Kingdom">United Kingdom</OPTION> 
                  <OPTION VALUE="Uruguay">Uruguay</OPTION> 
                  <OPTION VALUE="Venezuela">Venezuela</OPTION> 
                  <OPTION VALUE="Vietnam">Vietnam</OPTION> 
                  <OPTION VALUE="Virgin Islands">Virgin Islands</OPTION> 
                  <OPTION VALUE="Zaire">Zaire</OPTION> 
                  <OPTION VALUE="Zambia">Zambia</OPTION> 
                  <OPTION VALUE="Zimbabwe">Zimbabwe</OPTION>
                  <OPTION VALUE="Other">Other (not listed)</OPTION> 
			</SELECT>
		</td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>Province</td>
	<td><SELECT NAME="province" SIZE="1"> 
                  <OPTION VALUE="" SELECTED="SELECTED">Select if Applicable </OPTION> 
                  <OPTION></OPTION>
                  <OPTION>Alberta</OPTION>
                  <OPTION>British Columbia</OPTION>
                  <OPTION>Manitoba</OPTION>
                  <OPTION>Newfoundland</OPTION>
                  <OPTION>Nova Scotia</OPTION>
                  <OPTION>New Brunswick</OPTION>
                  <OPTION>Ontario</OPTION>
                  <OPTION>Prince Edward Island</OPTION>
                  <OPTION>Quebec</OPTION>
                  <OPTION>Saskatchewan</OPTION>
                  <OPTION>Nunavut</OPTION>
                  <OPTION>Northwest Territories</OPTION>
                  <OPTION>Yukon Territory</OPTION>
</SELECT>
		</td>
</tr>
<tr>
	<td width="10">&nbsp;</td>
	<td width=25%>E-mail -------- &gt; </font></td>
	<td><INPUT TYPE="TEXT" NAME="email" SIZE="30"> (Required)</td>
</tr>

</table>
</td>
</tr>
</table>

<br>
<center>
<input type="reset" name="reset"
    value="Clear this form"><input type="submit" name="B2"
    value="Submit">
</center>
  <center>
	<font face="arial, helvetica" size=2>We will send you an e-mail confirmation of
	your request.</font><!--#exec cgi="/cgi-bin/pagebottom.pl" -->


</center>

</form>

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