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</td></tr>
<tr><td>&nbsp;</td><td>
 
<a href="javascript:if (validate()) {document.questionary.submit()}" onMouseOver="document.images['img_submit'].src='widgets/gen_1150.1.gif'" onMouseOut="document.images['img_submit'].src='widgets/gen_1149.1.gif'"><img src="widgets/gen_1149.1.gif" alt="Submit" name="img_submit" border="0"></a><a href="javascript:document.questionary.reset()" onMouseOver="document.images['img_reset'].src='widgets/gen_1152.1.gif'" onMouseOut="document.images['img_reset'].src='widgets/gen_1151.1.gif'"><img src="widgets/gen_1151.1.gif" alt="Reset" name="img_reset" border="0"></a>
</td></tr>
<tr><td colspan="2">
<TABLE WIDTH="100%" BORDER="0" CELLPADDING=0 CELLSPACING=0>
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	<TD WIDTH=100% BACKGROUND="widgets/gen_845.1.gif" align="right"><IMG SRC="widgets/gen_846.1.gif" border="0"></TD>
	</TR>
</TABLE>
</td></tr>
</table>
</form>
</center>
<!-- EOF: ./personal-templates/simple/personalnew/form/style_l18.html -->

		<br>
            
<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

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<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">
<a href="http://www.purposefilledlife.com/index.html"><img border="0" name="custom_logo" src="images/pfl-logo-small1.jpg"></a>
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<font face="helvetica,verdana, arial" size="1">purposefilledlife.com 2002</font>

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<br>
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  <tr>
	<td valign="bottom" width="1%" align="left"><img src="widgets/gen_853.1.gif" width="167" height="36"></td>
	<td valign="bottom">
	  <table width="100%" border="0" cellspacing="0" cellpadding="0" background="widgets/gen_854.1.gif" height="36">
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		  <td>&nbsp;</td>
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	<td valign="bottom" width="1%" align="right"><img src="widgets/gen_855.1.gif" width="152" height="36"></td>
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</table>
<!-- EOF: ./personal-templates/simple/personal/layout/l18.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


<!-- EOF: ./personal-templates/simple/themes.show.end -->


</html>
   

<!-- EOF: ./personal-templates/show.body -->