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<FORM
action="mailto:motivatehits_rem@yahoo.ca?subject=Email Form Ranking Report
Request"
method=post encType=text/plain>
<P align=center><FONT face="Arial, Helvetica, sans-serif" color=#3333ff
size=2><B><FONT size=3>Could your website use more
traffic?</FONT></B></FONT><FONT face="Arial,
Helvetica, sans-serif"
size=2><BR><BR>
    Why not put yourself where people can find you. We <B><FONT
color=#ff0000>guarantee top placement</FONT></B> on the <FONT
color=#3333ff><B>top 15 search engine<FONT
color=#3333ff>s</FONT>!</B></FONT><BR>
    Fill out
the form below, and we will run a free ranking report on your
website.</FONT></P>
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    <TD>
      <DIV align=center>
      <P>&nbsp;</P>
      <P><B><FONT face="Arial, Helvetica, sans-serif" size=4>Request a <FONT
      color=#ff0000>no-obligation consultation</FONT> for your website!</FONT></B><FONT
      size=4><B><FONT face="Arial, Helvetica, sans-serif">
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            <P><B><FONT face="Arial, Helvetica, sans-serif" size=3>One of our
              search engine specialists will contact you to discuss your report
              and search engine rankings.</FONT><FONT face="Arial, Helvetica, sans-serif" size=2><BR>
              </FONT></B></P></DIV></TD></TR>
  <TR>
    <TD>
      <DIV align=center>
      <P>&nbsp;</P>
            <TABLE cellSpacing=1 borderColorDark=#eaeaea cellPadding=2 width=400
      border=1>
              <TBODY>
                <TR>
                  <TD width="50%" height=25> <DIV align=left><FONT face="Arial, Helvetica, sans-serif"
            size=2>Your name:</FONT></DIV></TD>
                  <TD width="50%" height=25> <DIV align=left>
                      <INPUT maxLength=50 size=25 name=name>
                    </DIV></TD>
                </TR>
                <TR>
                  <TD width="50%" height=25> <DIV align=left><FONT face="Arial, Helvetica, sans-serif"
            size=2>Website address:</FONT></DIV></TD>
                  <TD width="50%" height=25> <DIV align=left><FONT face="Arial, Helvetica, sans-serif">
                      <INPUT
            maxLength=50 size=25 name=url>
                      </FONT></DIV></TD>
                </TR>
                <TR>
                  <TD width="50%" height=25> <DIV align=left><FONT face="Arial, Helvetica, sans-serif"
            size=2>Telephone number:</FONT></DIV></TD>
                  <TD width="50%" height=25> <DIV align=left><FONT face="Arial, Helvetica, sans-serif">
                      <INPUT
            maxLength=50 size=25 name=phone>
                      </FONT></DIV></TD>
                </TR>
                <TR>
                  <TD height=25> <DIV align=left><FONT face="Arial, Helvetica, sans-serif"
            size=2>Email address:</FONT></DIV></TD>
                  <TD height=25> <DIV align=left><FONT face="Arial, Helvetica, sans-serif">
                      <INPUT
            maxLength=50 size=25 name=email>
                      </FONT></DIV></TD>
                </TR>
                <TR>
                  <TD class=bdytxtwht align=right><div align="left">What is your
                      anticipated Monthly Marketing Budget?</div></TD>
                  <TD align=left><SELECT id=budget name=budget>
                      <OPTION value="0 to 500" selected>$0 to $500</OPTION>
                      <OPTION
                                value="501 to 1,500">$501 to $1,500</OPTION>
                      <OPTION value="1,501 to 2,500">$1,501 to $2,500</OPTION>
                      <OPTION value="Over 2,500">Over $2,500</OPTION>
                    </SELECT></TD>
                </TR>
                <TR>
                  <TD height=25>select your country </TD>
                  <TD height=25><SELECT
                   size=1 name=countrycode>
                      <OPTION value="">I don't care</OPTION>
                      <OPTION
                    value=AF>Afghanistan
                      <OPTION value=AL>Albania
                      <OPTION
                    value=AG>Algeria
                      <OPTION value=AN>Andorra
                      <OPTION
                    value=AO>Angola
                      <OPTION value=AV>Anguilla
                      <OPTION
                    value=AC>Antigua and Barbuda
                      <OPTION
                    value=AR>Argentina
                      <OPTION value=AM>Armenia
                      <OPTION
                    value=AA>Aruba
                      <OPTION value=AT>Ashmore and Cartier Islands
                      <OPTION value=AS>Australia
                      <OPTION
                    value=AU>Austria
                      <OPTION value=AJ>Azerbaijan
                      <OPTION
                    value=BF>Bahamas
                      <OPTION value=BA>Bahrain
                      <OPTION
                    value=BG>Bangladesh
                      <OPTION value=BB>Barbados
                      <OPTION
                    value=BS>Bassas Da India
                      <OPTION value=BO>Belarus
                      <OPTION
                    value=BE>Belgium
                      <OPTION value=BH>Belize
                      <OPTION
                    value=BN>Benin
                      <OPTION value=BD>Bermuda
                      <OPTION
                    value=BT>Bhutan
                      <OPTION value=BL>Bolivia
                      <OPTION
                    value=BK>Bosnia and Herzegovina
                      <OPTION
                    value=BC>Botswana
                      <OPTION value=BV>Bouvet Island
                      <OPTION
                    value=BR>Brazil
                      <OPTION value=IO>British Indian Ocean Territory
                      <OPTION value=VI>British Virgin Islands
                      <OPTION
                    value=BX>Brunei
                      <OPTION value=BU>Bulgaria
                      <OPTION
                    value=UV>Burkina Faso
                      <OPTION value=BM>Burma
                      <OPTION
                    value=BY>Burundi
                      <OPTION value=CB>Cambodia
                      <OPTION
                    value=CM>Cameroon
                      <OPTION value=CA>Canada
                      <OPTION
                    value=CV>Cape Verde
                      <OPTION value=CJ>Cayman Islands
                      <OPTION
                    value=CT>Central African Republic
                      <OPTION
                    value=CD>Chad
                      <OPTION value=CI>Chile
                      <OPTION
                    value=CH>China
                      <OPTION value=KT>Christmas Island
                      <OPTION
                    value=IP>Clipperton Island
                      <OPTION value=CK>Cocos (Keeling) Islands
                      <OPTION value=CO>Colombia
                      <OPTION
                    value=CN>Comoros
                      <OPTION value=CF>Congo
                      <OPTION
                    value=CG>Congo, Democratic Republic Of The
                      <OPTION
                    value=CW>Cook Islands
                      <OPTION value=CR>Coral Sea Islands
                      <OPTION value=CS>Costa Rica
                      <OPTION value=IV>Cote D'Ivoire
                      <OPTION value=HR>Croatia
                      <OPTION value=CU>Cuba
                      <OPTION
                    value=CY>Cyprus
                      <OPTION value=EZ>Czech Republic
                      <OPTION
                    value=DA>Denmark
                      <OPTION value=DJ>Djibouti
                      <OPTION
                    value=DO>Dominica
                      <OPTION value=DR>Dominican Republic
                      <OPTION
                    value=EC>Ecuador
                      <OPTION value=EG>Egypt
                      <OPTION value=ES>El Salvador
                      <OPTION value=EK>Equatorial Guinea
                      <OPTION
                    value=ER>Eritrea
                      <OPTION value=EN>Estonia
                      <OPTION
                    value=ET>Ethiopia
                      <OPTION value=EU>Europa Island
                      <OPTION
                    value=FK>Falkland Islands (Islas Malvinas)
                      <OPTION
                    value=FO>Faroe Islands
                      <OPTION value=FJ>Fiji
                      <OPTION
                    value=FI>Finland
                      <OPTION value=FR>France
                      <OPTION
                    value=FG>French Guiana
                      <OPTION value=FP>French Polynesia
                      <OPTION value=FS>French Southern and A. Lands
                      <OPTION value=GB>Gabon
                      <OPTION value=GA>Gambia, The
                      <OPTION value=GZ>Gaza Strip
                      <OPTION
                    value=GG>Georgia
                      <OPTION value=GM>Germany
                      <OPTION
                    value=GH>Ghana
                      <OPTION value=GI>Gibraltar
                      <OPTION
                    value=GO>Glorioso Islands
                      <OPTION value=GR>Greece
                      <OPTION
                    value=GL>Greenland
                      <OPTION value=GJ>Grenada
                      <OPTION
                    value=GP>Guadeloupe
                      <OPTION value=GT>Guatemala
                      <OPTION
                    value=GK>Guernsey
                      <OPTION value=GV>Guinea
                      <OPTION
                    value=PU>Guinea-Bissau
                      <OPTION value=GY>Guyana
                      <OPTION
                    value=HA>Haiti
                      <OPTION value=HM>Heard Island and Mcdonald Islands
                      <OPTION value=HO>Honduras
                      <OPTION value=HK>Hong Kong
                      <OPTION value=HU>Hungary
                      <OPTION value=IC>Iceland
                      <OPTION
                    value=IN>India
                      <OPTION value=ID>Indonesia
                      <OPTION
                    value=IR>Iran
                      <OPTION value=IZ>Iraq
                      <OPTION
                    value=EI>Ireland
                      <OPTION value=IM>Isle Of Man
                      <OPTION
                    value=IS>Israel
                      <OPTION value=IT>Italy
                      <OPTION
                    value=JM>Jamaica
                      <OPTION value=JN>Jan Mayen
                      <OPTION
                    value=JA>Japan
                      <OPTION value=JE>Jersey
                      <OPTION
                    value=JO>Jordan
                      <OPTION value=JU>Juan De Nova Island
                      <OPTION
                    value=KZ>Kazakhstan
                      <OPTION value=KE>Kenya
                      <OPTION
                    value=KR>Kiribati
                      <OPTION value=KU>Kuwait
                      <OPTION
                    value=KG>Kyrgyzstan
                      <OPTION value=LA>Laos
                      <OPTION
                    value=LG>Latvia
                      <OPTION value=LE>Lebanon
                      <OPTION
                    value=LT>Lesotho
                      <OPTION value=LI>Liberia
                      <OPTION
                    value=LY>Libya
                      <OPTION value=LS>Liechtenstein
                      <OPTION
                    value=LH>Lithuania
                      <OPTION value=LU>Luxembourg
                      <OPTION
                    value=MC>Macau
                      <OPTION value=MK>Macedonia
                      <OPTION
                    value=MA>Madagascar
                      <OPTION value=MI>Malawi
                      <OPTION
                    value=MY>Malaysia
                      <OPTION value=MV>Maldives
                      <OPTION
                    value=ML>Mali
                      <OPTION value=MT>Malta
                      <OPTION value=RM>Marshall Islands
                      <OPTION value=MB>Martinique
                      <OPTION
                    value=MR>Mauritania
                      <OPTION value=MP>Mauritius
                      <OPTION
                    value=MF>Mayotte
                      <OPTION value=MX>Mexico
                      <OPTION
                    value=FM>Micronesia, Federated States Of
                      <OPTION
                    value=MD>Moldova
                      <OPTION value=MN>Monaco
                      <OPTION
                    value=MG>Mongolia
                      <OPTION value=MW>Montenegro
                      <OPTION
                    value=MH>Montserrat
                      <OPTION value=MO>Morocco
                      <OPTION
                    value=MZ>Mozambique
                      <OPTION value=WA>Namibia
                      <OPTION
                    value=NR>Nauru
                      <OPTION value=NP>Nepal
                      <OPTION
                    value=NL>Netherlands
                      <OPTION value=NT>Netherlands Antilles
                      <OPTION value=NC>New Caledonia
                      <OPTION value=NZ>New Zealand
                      <OPTION value=NU>Nicaragua
                      <OPTION
                    value=NG>Niger
                      <OPTION value=NI>Nigeria
                      <OPTION
                    value=NE>Niue
                      <OPTION value=NM>No Man's Land
                      <OPTION
                    value=NF>Norfolk Island
                      <OPTION value=KN>North Korea
                      <OPTION
                    value=NO>Norway
                      <OPTION value=OS>Oceans
                      <OPTION
                    value=MU>Oman
                      <OPTION value=PK>Pakistan
                      <OPTION
                    value=PS>Palau
                      <OPTION value=PM>Panama
                      <OPTION value=PP>Papua New Guinea
                      <OPTION value=PF>Paracel Islands
                      <OPTION
                    value=PA>Paraguay
                      <OPTION value=PE>Peru
                      <OPTION
                    value=RP>Philippines
                      <OPTION value=PC>Pitcairn Islands
                      <OPTION
                    value=PL>Poland
                      <OPTION value=PO>Portugal
                      <OPTION
                    value=PR>Puerto Rico
                      <OPTION value=QA>Qatar
                      <OPTION
                    value=RE>Reunion
                      <OPTION value=RO>Romania
                      <OPTION
                    value=RS>Russia
                      <OPTION value=RW>Rwanda
                      <OPTION value=SH>Saint Helena
                      <OPTION value=SC>Saint Kitts and Nevis
                      <OPTION
                    value=ST>Saint Lucia
                      <OPTION value=SB>Saint Pierre and Miquelon
                      <OPTION value=VC>Saint Vincent and The Grenadines
                      <OPTION value=WS>Samoa
                      <OPTION value=SM>San Marino
                      <OPTION value=TP>Sao Tome and Principe
                      <OPTION
                    value=SA>Saudi Arabia
                      <OPTION value=SG>Senegal
                      <OPTION
                    value=SR>Serbia
                      <OPTION value=SE>Seychelles
                      <OPTION
                    value=SL>Sierra Leone
                      <OPTION value=SN>Singapore
                      <OPTION
                    value=LO>Slovakia
                      <OPTION value=SI>Slovenia
                      <OPTION
                    value=BP>Solomon Islands
                      <OPTION value=SO>Somalia
                      <OPTION
                    value=SF>South Africa
                      <OPTION value=SX>South Georgia &amp; S.S.I.
                      <OPTION value=KS>South Korea
                      <OPTION
                    value=SP>Spain
                      <OPTION value=PG>Spratly Islands
                      <OPTION
                    value=CE>Sri Lanka
                      <OPTION value=SU>Sudan
                      <OPTION
                    value=NS>Suriname
                      <OPTION value=SV>Svalbard
                      <OPTION
                    value=WZ>Swaziland
                      <OPTION value=SW>Sweden
                      <OPTION
                    value=SZ>Switzerland
                      <OPTION value=SY>Syria
                      <OPTION
                    value=TW>Taiwan
                      <OPTION value=TI>Tajikistan
                      <OPTION
                    value=TZ>Tanzania
                      <OPTION value=TH>Thailand
                      <OPTION
                    value=TO>Togo
                      <OPTION value=TL>Tokelau
                      <OPTION
                    value=TN>Tonga
                      <OPTION value=TD>Trinidad and Tobago
                      <OPTION
                    value=TE>Tromelin Island
                      <OPTION value=TS>Tunisia
                      <OPTION
                    value=TU>Turkey
                      <OPTION value=TX>Turkmenistan
                      <OPTION
                    value=TK>Turks and Caicos Islands
                      <OPTION
                    value=TV>Tuvalu
                      <OPTION value=UG>Uganda
                      <OPTION
                    value=UP>Ukraine
                      <OPTION value=AE>United Arab Emirates
                      <OPTION
                    value=UK>United Kingdom
                      <OPTION value=US selected>United States
                      <OPTION value=UY>Uruguay
                      <OPTION
                    value=UZ>Uzbekistan
                      <OPTION value=NH>Vanuatu
                      <OPTION
                    value=VT>Vatican City
                      <OPTION value=VE>Venezuela
                      <OPTION
                    value=VM>Vietnam
                      <OPTION value=VQ>Virgin Islands
                      <OPTION
                    value=WF>Wallis and Futuna
                      <OPTION value=WE>West Bank
                      <OPTION
                    value=WI>Western Sahara
                      <OPTION value=YM>Yemen
                      <OPTION
                    value=ZA>Zambia
                      <OPTION value=ZI>Zimbabwe</OPTION>
                    </SELECT> </TD>
                </TR>
                <TR>
                  <TD colSpan=2 height=25><DIV align=center>
                      <p><FONT face="Arial, Helvetica,
sans-serif"
            size=2><B>Please list the keywords that you would like us to run a
                        report on:</B></FONT></p>
                    </DIV></TD>
                </TR>
                <TR>
                  <TD width="50%" height=25><FONT
            face="Arial, Helvetica,
sans-serif" size=2>Keyword 1: </FONT></TD>
                  <TD width="50%" height=25><FONT
            face="Arial, Helvetica,
sans-serif">
                    <INPUT maxLength=50
            size=25 name=keyword1>
                    </FONT></TD>
                </TR>
                <TR>
                  <TD width="50%" height=25><FONT
            face="Arial, Helvetica,
sans-serif" size=2>Keyword 2: </FONT></TD>
                  <TD width="50%" height=25><FONT
            face="Arial, Helvetica,
sans-serif">
                    <INPUT maxLength=50
            size=25 name=keyword2>
                    </FONT></TD>
                </TR>
                <TR>
                  <TD width="50%" height=25><FONT
            face="Arial, Helvetica,
sans-serif" size=2>Keyword 3: </FONT></TD>
                  <TD width="50%" height=25><FONT
            face="Arial, Helvetica,
sans-serif">
                    <INPUT maxLength=50
            size=25 name=keyword3>
                    </FONT></TD>
                </TR>
              </TBODY>
            </TABLE>
      <P><INPUT type=submit value="Request Report" name=Submit> </P></DIV></TD></TR>
  <TR bgColor=#eaeaea>
    <TD height=20>&nbsp;</TD></TR></TBODY></TABLE></FORM>
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