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 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="thankyoupage"
 value="http://www.rtek2000.com/autoresponsePMP.html"
></hidden>

<hidden
 name="subject"
 value="[PMP Subscription Order Form]"
></hidden>

<image
 image="help-1.jpg"
 x="14"
 y="9"
></image>

<image
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 y="97"
></image>

<image
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></image>

<textinput
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>
</textinput>

<textinput
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  fontname="Arial"
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>
</textinput>

<textinput
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>
</textinput>

<textinput
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>
</textinput>

<textinput
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>
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<combobox
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  <item name="Select One..."></item>
  <item name="**Foreign Country**"></item>
  <item name="Alabama"></item>
  <item name="Alaska"></item>
  <item name="Arizona"></item>
  <item name="Arkansas"></item>
  <item name="California"></item>
  <item name="Colorado"></item>
  <item name="Connecticut"></item>
  <item name="Delaware"></item>
  <item name="Florida"></item>
  <item name="Georgia"></item>
  <item name="Hawaii"></item>
  <item name="Idaho"></item>
  <item name="Illinois"></item>
  <item name="Indiana"></item>
  <item name="Iowa"></item>
  <item name="Kansas"></item>
  <item name="Kentucky"></item>
  <item name="Louisiana"></item>
  <item name="Maine"></item>
  <item name="Maryland"></item>
  <item name="Massachusetts"></item>
  <item name="Michigan"></item>
  <item name="Minnesota"></item>
  <item name="Mississippi"></item>
  <item name="Missouri"></item>
  <item name="Montana"></item>
  <item name="Nebraska"></item>
  <item name="Nevada"></item>
  <item name="New Hampshire"></item>
  <item name="New Jersey"></item>
  <item name="New Mexico"></item>
  <item name="New York"></item>
  <item name="North Carolina"></item>
  <item name="North Dakota"></item>
  <item name="Ohio"></item>
  <item name="Oklahoma"></item>
  <item name="Oregon"></item>
  <item name="Pennsylvania"></item>
  <item name="Rhode Island"></item>
  <item name="South Carolina"></item>
  <item name="South Dakota"></item>
  <item name="Tennessee"></item>
  <item name="Texas"></item>
  <item name="Utah"></item>
  <item name="Vermont"></item>
  <item name="Virginia"></item>
  <item name="Washington"></item>
  <item name="West Virginia"></item>
  <item name="Wisconsin"></item>
  <item name="Wyoming"></item>
</combobox>

<textinput
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>
</textinput>

<textinput
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  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<checkbox
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 x="304"
 y="260"
 w="116"
 h="19"
 label="Call me after 6 PM"
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 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
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 x="304"
 y="280"
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 h="19"
 label="Call me from 9 AM to 5 PM"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="E-mail me"
 x="452"
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 w="71"
 h="19"
 label="E-Mail me"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<textinput
 name="E-mail"
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  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
  restrict="email"
>
</textinput>



<textinput
 name="Price"
 x="428"
 y="372"
 w="101"
 h="22"
 initvalue="USD$97.00"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
  restrict="num"
>
</textinput>

<textinput
 name="I_confirm"
 x="232"
 y="452"
 w="78"
 h="22"
 initvalue=""
 bkcolor="0xFCDD96"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textarea
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 w="532"
 h="62"
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  fontsize="12"
  fontname="Arial"
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></textarea>

<combobox
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 y="596"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
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 w="214"
 h="20">
  <item name="Choose Here"></item>
  <item name="Google"></item>
  <item name="Yahoo"></item>
  <item name="MSN"></item>
  <item name="Other Search Engine"></item>
  <item name="Friend"></item>
  <item name="Brochure"></item>
  <item name="Newspaper Ad"></item>
  <item name="Link to RTEK 2000"></item>
</combobox>

<checkbox
 name="My Check Box 1"
 x="180"
 y="628"
 w="342"
 h="19"
 label="Please add me to the list to be notified about new discounts"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<submitbutton
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 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 2"
 x="16"
 y="80"
 w="83"
 h="16"
 text="Your Name *"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="16"
 y="168"
 w="96"
 h="16"
 text="Street Address"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="20"
 y="200"
 w="65"
 h="16"
 text="Address 2"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="15"
 y="232"
 w="28"
 h="16"
 text="City *"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="412"
 y="232"
 w="24"
 h="16"
 text="ZIP *"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="20"
 y="264"
 w="99"
 h="16"
 text="Phone Number"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="20"
 y="304"
 w="106"
 h="16"
 text="E-Mail Address *"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 9"
 x="20"
 y="484"
 w="218"
 h="16"
 text="Have questions/notes? Type here:"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<captcha
 name="My Captcha 1"
 x="20"
 y="576"
 w="133"
 h="100"
 text="Enter Shown Above Key:"
 fnt="Arial"
 fntclr="0x000000"
 fntsize="11"
 bkbdrcolor="0x000000"
 bkfillclr="0xFFFFFF"
 bkdobdr="t"
 bkbdrsolid="t"
 bkdobk="t"
 bkfillalpha="100"
 message="Incorrect key!"
></captcha>

<label
 name="My Text 10"
 x="180"
 y="576"
 w="201"
 h="16"
 text="How did you find our web site?"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 11"
 x="236"
 y="232"
 w="37"
 h="16"
 text="State *"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 13"
 x="224"
 y="48"
 w="141"
 h="14"
 text="or fill out the form below"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x800000"
  fontsize="11"
></label>

<label
 name="My Text 14"
 x="144"
 y="28"
 w="330"
 h="14"
 text="Call 410-966-6192 5 days a week (Mon-Fri) 9 a.m. - 5 p.m. EST"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x800000"
  fontsize="11"
></label>

<label
 name="My Text 16"
 x="16"
 y="136"
 w="86"
 h="16"
 text="Organization"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 21"
 x="20"
 y="376"
 w="166"
 h="16"
 text="Discounted Price* (USD$) "
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 29"
 x="20"
 y="456"
 w="168"
 h="16"
 text="Please type YES in the box."
 fontitalic="italic"
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  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 31"
 x="20"
 y="408"
 w="66"
 h="16"
 text="I Certify: *"
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 32"
 x="20"
 y="428"
 w="493"
 h="16"
 text="that I need live Internet connection to access the PMP Testing Platform.  "
 fontitalic="italic"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 33"
 x="184"
 y="680"
 w="251"
 h="16"
 text="PLEASE WAIT FOR THE NEXT SCREEN."
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 34"
 x="196"
 y="700"
 w="232"
 h="16"
 text=" THANK YOU FOR YOUR BUSINESS! "
 fontbold="bold"
  fontname="Arial CYR"
  fontcolor="0xFF0000"
  fontsize="13"
></label>

</form>
