<% set rs= server.createobject("adodb.recordset") Rs.ActiveConnection = obj Rs.CursorType = 0 Rs.LockType = 1 valid = request ("valid") %> :: Shehzad Roy ::


<%if request("Occupation") = "Other" then%> <%end if%>
 
Information with an * is required.
First Name "> *
Last Name "> *
Address *
Country *
Town/City <% if request("Country") = "Pakistan" or request("Country") = "" then %> <%else%> <%end if%> *
Zip Code "> *
Phone ">
Mobile/Cell ">
Gender
Age Group
E-Mail "> *
Occupation
Other ">
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