ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> <html> <head> <title>Untitled Document</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> </head> <body> <FORM method="post" action="mailto:adm_jnsr@yahoo.com" enctype="text/plain"> <INPUT TYPE="hidden" NAME="subject" VALUE="registration for new content"> <p align="center"> <b> Registre-se agora e receba um email sempre que novos conteúdos <br><br> <table border=0> <tr> <td> Apelido </td> <td width="2">:</td> <td><INPUT TYPE="text" NAME="lastname"></td> </tr> <tr> <td> Nome </td> <td width="2">:</td> <td><INPUT TYPE="text" NAME="firstname"></td> </tr> <tr> <td> Email address</td> <td width="2">:</td> <td><INPUT TYPE="text" NAME="email"></td> </tr> <tr> <td> Polski</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Polski"></td> </tr> </table> <br><br> <b>Línguas </b><br> <table border=0> <tr> <td> <br> </td> </tr> <tr> <td> Français</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Francais"></td> <td> ** ** </td> <td> Nederlands</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Nederlands"></td> <td> ** ** </td> <td> English </td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="English"></td> </tr> <tr> <td> Deutsch </td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Deutsch"></td> <td> ** ** </td> <td> Español </td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Español"></td> <td> ** ** </td> <td> Italiano </td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Italiano"></td> </tr> <tr> <td> Portugues</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Portugues"></td> <td> ** ** </td> <td> Române_te</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Romania"></td> <td> ** ** </td> <td> Polski</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="Polski"></td> </tr> <tr> <td> &#26085;&#26412;&#35486</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="nippon"></td> <td> ** ** </td> <td> &#20013;&#25991;</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="china"></td> </tr> </table> <br> <table> <tr> <td width="2"> </td> <td> To unsubscribe</td> <td width="2">:</td> <td><INPUT TYPE="checkbox" NAME="unsub"></td> </tr> </table> <input type="submit" name="submit" value="Send"> </FORM> <br><br> </p > </body> </html>