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<TABLE BORDER="0" CELLPADDING="3">
<SCRIPT language="JavaScript" type="text/javascript">
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function checkForm() {
	 if (document.SubForm.customer_email.value.length == 0) { alert('Please fix:: Email.'); return false; }  if (document.SubForm.customer_firstname.value.length == 0) { alert('Please fix:: First Name.'); return false; }  return true;
} 
//-->
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<FORM ACTION="http://www.vmessage.com.au/FoodIndustriesAssociationofQueensland/subscribeprocess.cfm" METHOD="POST" NAME="SubForm" onSubmit="return checkForm();">
<INPUT TYPE="HIDDEN" NAME="client_id" VALUE="307">
<INPUT TYPE="HIDDEN" NAME="login_id" VALUE="0">
<INPUT TYPE="HIDDEN" NAME="group_id" VALUE="0">

			<TR>
			<TD VALIGN="TOP" NOWRAP>First Name</TD>
			<TD VALIGN="TOP" NOWRAP><INPUT TYPE="TEXT" NAME="customer_firstname" VALUE="" SIZE="30">  <SPAN STYLE="color: red;">* </SPAN></TD>
			</TR>
		
			<TR>
			<TD VALIGN="TOP" NOWRAP>Last Name</TD>
			<TD VALIGN="TOP" NOWRAP><INPUT TYPE="TEXT" NAME="customer_lastname" VALUE="" SIZE="30">  </TD>
			</TR>
		
			<TR>
			<TD VALIGN="TOP" NOWRAP>Email</TD>
			<TD VALIGN="TOP" NOWRAP><INPUT TYPE="TEXT" NAME="customer_email" VALUE="" SIZE="30">  <SPAN STYLE="color: red;">* </SPAN></TD>
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			<TR>
			<TD VALIGN="TOP" NOWRAP>Company</TD>
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<tr>
<td colspan="2">

</td></tr>
<TR>
<TD COLSPAN="2" ALIGN="RIGHT">
	<INPUT TYPE="SUBMIT" NAME="Subscribe" VALUE="Subscribe">
</TD>
</TR>
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</TABLE>