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<title>Registration for Corporate Donators</title>
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<table border="0" width="80%" align="center" bgcolor="#000000" cellpadding="4" cellspacing="2">
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    <td class="headline"> 
      <div align="center"><font size="+2">Bid: register to donate funds</font></div>
    </td>
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  <tr bgcolor="#FFFFFF"> 
    <td class="lauftext">Is your corporation wasting its money on campaign contributions? 
      The soft money that your corporation gives to national political committees 
      will be spent on single-issue ads which are an ineffective method of persuading 
      the voting populace. Voteauction.com offers a greater return on your campaign 
      investment. When your corporation wins the auction on a particular voting 
      block, you can be certain that the voteauction.com voters in that state 
      will vote for your candidate. Thus, your corporation is guaranteed that 
      its interests will be looked after.</td>
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  <tr bgcolor="#FFFFFF"> 
    <td class="lauftext">Fields marked with a * are required. This information 
      will be used to create a demographic profile of the bidding corporations. 
      You and your corporation's identity will be kept strictly confidential. 
      This information will not be sold, distributed, or released for any reason. 
      You will be assigned a bidder number so you can follow the bids on the <a href="check.htm">check</a> 
      page. Registering to bid on votes also registers you for the bidders email 
      list which will contain updates on important voteauction.com information. 
      You will not receive any advertising or unwanted emails (spam) from this 
      list. </td>
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  <tr bgcolor="#FFFFFF"> 
    <td class="lauftext">Register to donate funds.</td>
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<FORM METHOD=POST ACTION="./corporatebid.php3">
<!-- ACTION="http://www.voteauction.com/cgi-sys/FormMail.cgi" -->
<input type=hidden name="recipient" value="pr@vote-auction.com">
<input type=hidden name="subject" value="corporate bidder form">
<input type=hidden name="redirect" value="http://www.vote-auction.com/thankyoubidder.htm">
<input type=hidden name="required" value="orgcorpname, contactname, address1, city, stateprovince, country, zipcode, email, businesstype, sales, agreementcheckbox">
<input type=hidden name="env_report" value="REMOTE_ADDR, HTTP_USER_AGENT">
<input type=hidden name="missing_fields_redirect" value="http://www.vote-auction.com/error.htm">
<input type=hidden name="dataname" value="corporatebidder">



  <table border="0" width="80%" align="center" bgcolor="#000000" cellpadding="4" cellspacing="2">
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Name of Organization/Corporation</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="orgcorpname">
        *</td>
      <td bgcolor="#FFFFFF"><font size="3"></font></td>
      <td bgcolor="#CCCCCC"><font size="3"></font></td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Contact's Name</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="contactname">
        *</td>
      <td bgcolor="#FFFFFF"><font size="3"></font></td>
      <td bgcolor="#CCCCCC"><font size="3"></font></td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Address (Line 1)</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="address1">
        *</td>
      <td bgcolor="#FFFFFF"><font size="3"></font></td>
      <td bgcolor="#CCCCCC"><font size="3"></font></td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Address (Line 2)</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="address2">
      </td>
      <td bgcolor="#FFFFFF"><font size="3"></font></td>
      <td bgcolor="#CCCCCC"><font size="3"></font></td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">City</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="city">
        *</td>
      <td bgcolor="#FFFFFF" class="lauftext">State/Province</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="stateprovince">
      </td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Zip/Post Code</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="zipcode">
        *</td>
      <td bgcolor="#FFFFFF"><font size="3"></font></td>
      <td bgcolor="#CCCCCC"><font size="3"></font></td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Country</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="country">
        *</td>
      <td bgcolor="#FFFFFF"><font size="3"></font></td>
      <td bgcolor="#CCCCCC">&nbsp; </td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext" height="27">Contact's email address</td>
      <td bgcolor="#CCCCCC" height="27"> 
        <input type="text" name="email">
        *</td>
      <td bgcolor="#FFFFFF" height="27" class="lauftext">Telephone</td>
      <td bgcolor="#CCCCCC" height="27"> 
        <input type="text" name="telephone" maxlength="12" size="12">
      </td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Contact's Title</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="title">
      </td>
      <td bgcolor="#FFFFFF"><font size="3"></font></td>
      <td bgcolor="#CCCCCC">&nbsp; </td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Type of business/organization</td>
      <td bgcolor="#CCCCCC"> 
        <select name="businesstype">
          <option>Administrative/Clerical</option>
          <option>Attorney</option>
          <option>Doctor</option>
          <option>Educator</option>
          <option>Managerial/Executive</option>
          <option>Professional/Technical</option>
          <option>Sales</option>
          <option>Service Labor (i.e. Waiter/Waitress)</option>
          <option>Skilled Labor/Construction</option>
          <option>Police/Armed Forces</option>
          <option>Other</option>
        </select>
        * </td>
      <td bgcolor="#FFFFFF" class="lauftext">Years incorporated</td>
      <td bgcolor="#CCCCCC"> 
        <select name="yearsincorporated">
          <option>1 - 3</option>
          <option>4 - 7</option>
          <option>7 - 10</option>
          <option>11 - 15</option>
          <option>16 - 20</option>
          <option>21 - 30</option>
          <option>31 - 40</option>
          <option>41 - 50</option>
          <option>51 - 75</option>
          <option>76 - 100</option>
          <option>Over 100</option>
        </select>
      </td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">Yearly sales</td>
      <td bgcolor="#CCCCCC"> 
        <select name="sales">
          <option>Less than 250,000</option>
          <option>250,000 - 499,999</option>
          <option>500,000 - 999,999</option>
          <option>1 million - 5 million</option>
          <option>6 million - 10 million</option>
          <option>11 million - 25 million</option>
          <option>26 million - 50 million</option>
          <option>51 million - 100 million</option>
          <option>101 million - 200 million</option>
          <option>201 million - 300 million</option>
          <option>301 million - 500 million</option>
          <option>501 million - 1 billion</option>
          <option>over 1 billion</option>
        </select>
      </td>
      <td bgcolor="#FFFFFF" class="lauftext">Political Af<span class="lauftext">f</span>iliation</td>
      <td bgcolor="#CCCCCC"> 
        <select name="politicalaffiliation">
          <option>Communist</option>
          <option>Democrat</option>
          <option>Green</option>
          <option>Independent</option>
          <option>Libertarian</option>
          <option>Reform</option>
          <option>Republican</option>
          <option>Socialist</option>
          <option>None</option>
        </select>
      </td>
    </tr>
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext">How much did your business/organization 
        spend in campaign contributions (hard and/or soft money) in the 1996 election 
        cycle?</td>
      <td bgcolor="#CCCCCC"> 
        <input type="text" name="contributions">
        *</td>
      <td bgcolor="#FFFFFF" class="lauftext">Is your organization a tax-exempt, 
        non-profit?</td>
      <td bgcolor="#CCCCCC"> 
        <input type="checkbox" name="nonprofit" value="yes">
        yes </td>
    </tr>
  </table>
  <table border="0" width="80%" align="center" bgcolor="#000000" cellpadding="4" cellspacing="2">
    <tr> 
      <td bgcolor="#FFFFFF" class="lauftext" align="left" valign="top">Please 
        indicate why your business/organization is interested in donating funds:</td>
      <td bgcolor="#CCCCCC" align="left" valign="top"> <font face="Times New Roman, Times, serif" size="3"> 
        <textarea name="reason" cols="80" rows="10"></textarea>
        </font></td>
    </tr>
    <tr> 
      <td align="left" valign="top" colspan="2" bgcolor="#FFFFCC">&nbsp;</td>
    </tr>
    <tr bgcolor="#CCCCCC"> 
      <td colspan="2" align="left" valign="top"> 
        <div align="center">
          <input type="submit" name="Submit" value="Submit">
        </div>
      </td>
    </tr>
  </table>

</form>

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