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<http://www.diarysmart.com/images_email/logo_email.gif< DiarySmart.com The smart way to remember =20 =09 Hi, I've set up a Birthday book at DiarySmart.com. Please complete the fields b= elow then click the submit button to add your details to my Birthday Book. Thanks! Tracy=09 =09 Your Details=09 First Name * =09 Last Name * =09 Birth Day * Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20= 21 22 23 24 25 26 27 28 29 30 31 =09Birth Month * -Select- January February March April May June July August Septem= ber October November December =09 Age Range *=09 -Select- 0-12 years 13-18 years 19-24 years 25-30 years= 31-36 years 37-42 years 43-49 years 50-59 years 60-69 years 70+ =09G= ender *=09 -Select- Male Female =09 Country *=09 -Select- United States United Kingdom Canada Australia N= ew Zealand Japan -------- Afghanistan Albania Algeria American Samoa = Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Arm= enia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh = Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia= and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Ter= ritory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada= Cape Verde Cayman Islands Central African Republic Chad Chile China = China (Hong Kong S.A.R.) China (Macau S.A.R.) Christmas Island Cocos (K= eeling) Islands Colombia Comoros Congo Congo, Democractic Republic of t= he Cook Islands Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatsk= a) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Re= public East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea= Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji= Islands Finland France French Guiana French Polynesia French Polynesi= a French Southern Territories Gabon Gambia, The Georgia Germany Ghana= Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guine= a Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong= Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Ita= ly Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Korea, Nort= h Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liec= htenstein Lithuania Luxembourg Macedonia, Former Yugoslav Republic of M= adagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Marti= nique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco = Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal = Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua = Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oma= n Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines = Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Ru= ssia Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierr= e and Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao To= me and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore= Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia= And The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbar= d And Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Taj= ikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tun= isia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukrai= ne United Arab Emirates United Kingdom United States United States Mino= r Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy = See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wa= llis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabw= e =09Zip/Post Code *=09 =09 Tracy could be in the draw to WIN a US$40,000 Birthday Bash. It's a luxury = cruise with 10 friends who have added their birthdays to his birthday book = - he might just take you!=09 =09 Submit =09 =09 If clicking the "Submit" button does not work, please click the following l= ink: <http://www.diarysmart.com/cgi/nw.cgi?5688701X3291<; =09 =09 Or if you are already an existing member ...=09 =09 Please insert your login information below to add your details automaticall= y to my Birthday Book.=09 =09 Login Information=09 Email Address *=09 =09 Password *=09 =09 Submit =09 =09 If clicking the "Submit" button does not work, please click the following l= ink: http://www.diarysmart.com/cgi/ex.cgi?5688701X3291 <http://www.diarysmart.co= m/cgi/nw.cgi?5688701X3291< =09 <http://www.diarysmart.com/diary/Smart?sml_form_id_NAME=3D8423&sml_framese= t_main=3D10723<=09 =09
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