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<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


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<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


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<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


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<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


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<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


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<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


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<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->


<!--Copyright 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC -->

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<input name="allrequiredfields" type="hidden" value=",LoginEmailAddress,LoginPassword,NameOfOrganization,DescriptionOfOrganization,Address,City,State,ZipCode,RateID,">
<input name="DateRecordCreated" type="hidden" value="2008-8-27">	


                    <b><span class="asterisk">* Indicates a required field.</span> </b><table class="gray">
                      <tr> 
                            <td class="grayLeft">Login Email Address&nbsp;<span class="asterisk">*</span></td>
                        <td><input type="text" name="LoginEmailAddress" size=40 maxlength=90 value=""> <font color="red"><-- You will use this email address...</font></td>
                      </tr>
                      <tr> 
                            <td class="grayLeft">Login Password&nbsp;<span class="asterisk">*</span></td>
                        <td><input type="password" name="LoginPassword" size=40 maxlength=90 value=""> <font color="red"><-- and this password to log into our members' system.</font></td>
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                      <tr> 
                            <td class="grayLeft">Name of Organization&nbsp;<span class="asterisk">*</span></td>
                        <td><input type="text" name="NameOfOrganization" size=40 maxlength=90 value=""></td>
                      </tr>
                      <tr> 
                            <td class="grayLeft">Web Address</td>
                        <td>http://www.<input type="text" name="WebAddress" size=40 maxlength=90 value=""></td>
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                      <tr> 
                            <td class="grayLeft">Description of Organization&nbsp;<br>(Max 180 characters)<span class="asterisk">*</span></td>
                        <td><input type="text" name="DescriptionOfOrganization" size=40 maxlength=180 value=""></td>
                      </tr>

                      <tr> 
                            <td class="grayLeft">Three Areas of Interest</td>
                        <td><input type="text" name="ThreeAreasOfInterest" size=40 maxlength=180 value=""></td>
                      </tr>
                      <tr> 
                            <td class="grayLeft">Address&nbsp;<span class="asterisk">*</span></td>
                        <td><input type="text" name="Address" size=40 maxlength=90 value=""></td>
                      </tr>
                      <tr> 
                            <td class="grayLeft">City&nbsp;<span class="asterisk">*</span></td>
                        <td><input type="text" name="City" size=40 maxlength=90 value=""></td>
                      </tr>
                      <tr> 
                            <td class="grayLeft">State&nbsp;<span class="asterisk">*</span></td>
                        <td><select name="State"><option value=""></option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="DC">Washington D.C.</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select></td></tr>
<tr> 
                      <tr> 
                            <td class="grayLeft">Zip&nbsp;<span class="asterisk">*</span></td>
                        <td><input type="text" name="ZipCode" size=40 maxlength=90 value=""></td>
                      </tr>
						
                      <tr> 
                            <td class="grayLeft">Contact Name</td>
                        <td><select name="ContactCourtesyTitle"><option value=""></option><option value="Dr.">Dr.</option><option value="Miss">Miss</option><option value="Mr.">Mr.</option><option value="Mrs.">Mrs.</option><option value="Ms.">Ms.</option><option value="Rev.">Rev.</option></select>&nbsp;&nbsp;First:<input type="text" name="ContactFirstName" size=15 maxlength=90 value="">&nbsp;&nbsp;Middle:<input type="text" name="ContactMiddleName" size=15 maxlength=90 value="">&nbsp;&nbsp;Last:<input type="text" name="ContactLastName" size=15 maxlength=90 value=""></td>
                      </tr>
					                        <tr> 
                            <td class="grayLeft">Contact Title</td>
                        <td><input type="text" name="ContactTitle" size=40 maxlength=90 value=""></td>
                      </tr>					  

<tr> 
                            <td class="grayLeft">Contact Phone</td>
                        <td><input type="text" name="ContactPhone" size=40 maxlength=90 value=""></td>
                      </tr>
<tr> 
                            <td class="grayLeft">Contact Cell</td>
                        <td><input type="text" name="ContactCell" size=40 maxlength=90 value=""></td>
                      </tr>
<tr> 
                            <td class="grayLeft">Contact Fax</td>
                        <td><input type="text" name="ContactFax" size=40 maxlength=90 value=""></td>
                      </tr>
<tr> 
                            <td class="grayLeft">You Are a Guest Of</td>
                        <td><input type="text" name="GuestOf" size=40 maxlength=90 value=""></td>
                      </tr>
<tr> 
                            <td class="grayLeft">You First Heard About Us Through:</td>
                        <td><input type="text" name="HowHeardAboutUs" size=40 maxlength=90 value=""></td>
                      </tr>


                      <tr> 
                            <td class="grayLeft">Rate ID&nbsp;<span class="asterisk">*</span></td>
                        <td><select name="RateID"><option value=""></option><option value="1">$19.95 Monthly - Basic Monthly Membership - plus a $100.00 one-time application fee to join Network PLUS</option></select></td></tr>
					  
					  <tr><td colspan="3">
                    <input name="Process" type="submit" class="button" value="Submit">
               </td></tr>

			   </table></form>
</span>
</td></tr>

  				<p><b><a href="/calendar.asp">FOR A COMPLETE CALENDAR listing all of our exciting networking events, <u>CLICK HERE&nbsp;&raquo;</u></a></b></p>

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				<b><a href="http://urangatang.com">Copyright &copy; 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC </a></b><br><br><a href="/privacy.asp">Privacy Policy</a> <br />
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<!--<b><a href="http://urangatang.com">Copyright &copy; 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC </a></b>-->


<!--<b><a href="http://urangatang.com">Copyright &copy; 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC </a></b>-->


<!--<b><a href="http://urangatang.com">Copyright &copy; 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC </a></b>-->


<!--<b><a href="http://urangatang.com">Copyright &copy; 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC </a></b>-->


<!--<b><a href="http://urangatang.com">Copyright &copy; 2008 Urangatang Web Design, LLC.  This entire website including the graphics and look and feel of the site, all contained PHP, Active Server Pages, and JavaScript programming, and the entire membership database is the exclusive, copyrighted property of Urangatang Web Design and may not be copied, reused or distributed until/unless it has been properly purchased from the webmaster at Urangatang Web Design, LLC </a></b>-->


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