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document.write("<tr><td><input type='hidden' name='num' value=1><input type='hidden' name='user' value=messageuniverse>")
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document.write("<th bgcolor=#000000><font size=2 face='MS Sans Serif, Arial, Helvetica' color=#ff00ff>= Poll =</font></th>")
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document.write("<tr><td><font size=1 face='MS Sans Serif, Arial, Helvetica' color=#000000><b>Feedback</b></font><br></td></tr>")
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document.write("<td width=5% align='right'><input type=radio name=vote value=193654></td>")
document.write("<td width=95%><font size=1 face='MS Sans Serif, Arial, Helvetica' color=#000000>It was just what I needed to hear</font></td>")
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document.write("<td width=5% align='right'><input type=radio name=vote value=193655></td>")
document.write("<td width=95%><font size=1 face='MS Sans Serif, Arial, Helvetica' color=#000000>I couldnt relate to my message</font></td>")
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document.write("<td width=5% align='right'><input type=radio name=vote value=193656></td>")
document.write("<td width=95%><font size=1 face='MS Sans Serif, Arial, Helvetica' color=#000000>It was sooo  true</font></td>")
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document.write("<td width=5% align='right'><input type=radio name=vote value=193657></td>")
document.write("<td width=95%><font size=1 face='MS Sans Serif, Arial, Helvetica' color=#000000>I dont believe it</font></td>")
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document.write("<tr><td>")
document.write("<table bgcolor=#f0f0e0 width=100% cellpadding=3 cellspacing=0 border=0>")
document.write("<tr align='center'><td><font size=1 face='MS Sans Serif, Arial, Helvetica' color=#000000><input type='submit' name='whatdo' value='Vote'><br><a href='http://www.affirmations.netfirms.com/page2.html'><font color='#000000'>Current results</font></a></font><br><br></td></tr>")
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document.write("<tr><td align='center'><a href='http://www.cgi2you.com'><font color=#ff00ff size=1 face='Arial, MS Sans Serif, Helvetica' title='Get free polls at Cgi2yoU.com'>Powered by cgi2you.com</font></a></td></tr>")
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