ListingBook

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<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<div style="width: 300px; height: 210px; padding: 10px;">
<style type="text/css">
.input_1{font-size: 11px; width: 120px; height: 20px;}
.input_4{font-size: 11px; width: 32px; height: 20px;}
.input_5{font-size: 11px; width: 47px; height: 20px;}
.lb_right{text-align: right;font-weight: bold;}
table{font-size: .9em;}
</style>
<div style="background: #d9d9d9; ">
<div style="padding: 10px; text-align: center; background-color: #02408c;">
  <span style="color: yellow; font-size: 16px; font-weight: bold;">SEARCH LIKE AN AGENT!</span><br/>
  <span style="color: white; font-size: 14px; font-weight: bold;">GET A FREE LISTINGBOOK ACCOUNT</span>
</div>
<div style="font-size: .75em; font-family: arial; margin: 5px 15px 5px 15px; ">
<form id="form" method="GET" action="http://Listingbook.com/?&page=home" enctype="multipart/form-data">
  <input id="formid" name="formid" value="form" type="hidden" />
  <span style="">Instantly get a FREE Listingbook account from Lin Constans.</span><br>
<div style="margin: 10px 0 0 0;">
  <table style="margin-left: auto; margin-right: auto;"><tr>
   <td><strong>First Name:</strong></td>
   <td><input id="first_name" name="first_name" value="" type="text" /></td>
  </tr><tr>
   <td><strong>Last Name:</strong></td>
   <td><input id="last_name" name="last_name" value="" type="text" /></td>
  </tr><tr>
   <td><strong>E-mail:</strong></td>
   <td><input id="email" name="email" value="" type="text"></td>
  </tr><tr>
   <td><strong>Phone:</strong></td>
   <td><input id="phone_1" name="phone_1" maxlength="3" value="" type="text">-<input id="phone_2" name="phone_2" maxlength="3" value="" type="text">-<input id="phone_3" name="phone_3" maxlength="4" value="" type="text"></td>
   </tr><tr>
   <td></td><td><input type="submit" name="submit" value="Submit" /></td>
   </tr>
  </table>
  </div>
</form>
</div>
</div>
</div>