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							<a href="../../citizen/" style="TEXT-DECORATION: NONE"><font face="Verdana,Helvetica,Arial" size="2">Citizen Home</font></a><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"> | </font><a href="../../search/searchSites.html" style="TEXT-DECORATION: NONE"><font face="Verdana,Helvetica,Arial" size="2">Find a Citizen's Site</font></a><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"> | </font><a href="../../search/searchBuddies.html" style="TEXT-DECORATION: NONE"><font face="Verdana,Helvetica,Arial" size="2">Find an Angel Buddy</font></a>
							<p><a href="../../forum/" style="TEXT-DECORATION: NONE"><font face="Verdana,Helvetica,Arial" size="2">Go to the Forum</font></a><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"> | </font><a href="signup.pl" style="TEXT-DECORATION: NONE"><font face="Verdana,Helvetica,Arial" size="2">Become a Citizen</font></a><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"> | </font><a href="edit.pl" style="TEXT-DECORATION: NONE"><font face="Verdana,Helvetica,Arial" size="2">Edit Your Profile</font></a></p>
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							<form name="FormName" action="signup.pl" method="post">
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											<font face="Verdana,Helvetica,Arial" size="5" color="#ffffcc">Become A Citizen!</font></center>
										<div align="left">
											<p><font face="Verdana,Helvetica,Arial" color="#ffffcc" size="2"><b>By filling out this profile, your name will be added to the CoA Newsletter mailing list and your fansite will be added to a searchable database.</b></font><font face="Verdana,Helvetica,Arial" size="2"> How is this database different from others? Well, it's based on detailed profiles of fansites. So now when you're looking for a specific thing, like photos or fanfic, you can find it!</font><font face="Verdana,Helvetica,Arial" color="white" size="2"><b> </b></font><font face="Verdana,Helvetica,Arial" size="2">Take a few moments to add you fansite and get connected to the City of Angel online community!</font></div>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><b>Screen Name:</b> </b></font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="text" name="screen_name" size="24"></b></font></td>
								</tr>
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									<td align="left" valign="top"><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Email Address:</b> </font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="text" name="email" size="24"></b></font></td>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Password:</b> </font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="password" name="password" size="24"></b></font></td>
								</tr>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Retype Password:</b> </font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="password" name="password2" size="24"></b></font></td>
								</tr>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Age Range:</b> </font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><select name="age_range" size="1">
											<option value="" selected>- Select One -
											<option value="under_15">under 15
											<option value="16-19">16-19
											<option value="20-24">20-24
											<option value="25-29">25-29
											<option value="30-39">30-39
											<option value="40-49">40-49
											<option value="over_50">50 or better
										</select></b></font></td>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Gender:</b></font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="radio" value="male" name="gender"> Male <input type="radio" value="female" name="gender"> Female</b></font></td>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Location:</b></font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>State <input type="text" name="state" size="2" maxlength="3"> Country <input type="text" value="USA" name="country" size="9"></b></font></td>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Favorite Angel/Buffy Episode:</b> </font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="text" name="fav_episode" size="40"></b></font></td>
								</tr>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Favorite Angel/Buffy Characters:</b><br>
										</font><font size="2" face="Verdana,Helvetica,Arial">(check all that apply)</font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>
										<table border="0" cellpadding="5" cellspacing="0">
											<tr>
												<td valign="top"><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Angel" name="fav_character[]"> Angel<br>
													<input type="checkbox" value="Angelus" name="fav_character[]"> Angelus<br>
													<input type="checkbox" value="Anya" name="fav_character[]"> Anya<br>
													<input type="checkbox" value="Buffy" name="fav_character[]"> Buffy<br>
													<input type="checkbox" value="Conner" name="fav_character[]"> Conner<br>
													<input type="checkbox" value="Cordelia" name="fav_character[]"> Cordelia<br>
													<input type="checkbox" value="Darla" name="fav_character[]"> Darla<br>
													<input type="checkbox" value="Dawn" name="fav_character[]"> Dawn<br>
													<input type="checkbox" value="Doyle" name="fav_character[]"> Doyle<br>
													<input type="checkbox" value="Drusilla" name="fav_character[]"> Drusilla<br>
													</font></td>
												<td valign="top"><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Ethan" name="fav_character[]"> Ethan<br>
													<input type="checkbox" value="Faith" name="fav_character[]"> Faith<br>
													<input type="checkbox" value="Fred" name="fav_character[]"> Fred<br>
													<input type="checkbox" value="Giles" name="fav_character[]"> Giles<br>
													<input type="checkbox" value="Gunn" name="fav_character[]"> Gunn<br>
													<input type="checkbox" value="Jenny Calendar" name="fav_character[]"> Jenny Calendar<br>
													<input type="checkbox" value="Joyce Summers" name="fav_character[]"> Joyce Summers<br>
													<input type="checkbox" value="Kendra" name="fav_character[]"> Kendra<br>
													<input type="checkbox" value="Lilah" name="fav_character[]"> Lilah</font><br>
												</td>
												<td valign="top"><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Lindsey" name="fav_character[]"> Lindsey</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Lorne" name="fav_character[]"> Lorne (The Host)</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Oz" name="fav_character[]"> Oz</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Riley" name="fav_character[]"> Riley</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Spike" name="fav_character[]"> Spike</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Tara" name="fav_character[]"> Tara</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Wesley" name="fav_character[]"> Wesley</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Willow" name="fav_character[]"> Willow</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Xander" name="fav_character[]"> Xander</font></td>
											</tr>
										</table>
										</b></font></td>
								</tr>
								<tr>
									<td colspan="2">
										<center>
											<br>
											<font face="Verdana,Helvetica,Arial" size="2">Click &quot;Become a Citizen&quot; now to join.<br>
											If you have a fan site, continue by filling out the rest of the form below.<br>
											<br>
											</font><input type="submit" name="submitButtonName" value="Become a Citizen"><br>
											<br>
											<br>
										</center>
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									<td colspan="2" bgcolor="#313131">
										<center>
											<font face="Verdana,Helvetica,Arial" size="5" color="#ffffcc">Add Fan Site Information</font></center>
									</td>
								</tr>
								<tr>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Website Title:</b> </font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="text" name="website_title" size="40"></b></font></td>
								</tr>
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									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Website URL:</b> </font></td>
									<td><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="text" name="website_url" size="40"></b></font></td>
								</tr>
								<tr>
									<td colspan="2" bgcolor="#131313">
										<center>
											<font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Website Theme</b></font></center>
									</td>
								</tr>
								<tr>
									<td bgcolor="#131313"><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Show site is associated with:</b><br>
										</font><font size="2" face="Verdana,Helvetica,Arial">(check all that apply)</font></td>
									<td bgcolor="#131313"><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>
										<table border="0" cellpadding="1" cellspacing="0">
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="buffy" name="web_show[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Buffy the Vampire Slayer</font></td>
											</tr>
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="angel" name="web_show[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Angel (the series)</font></td>
											</tr>
										</table>
										</b></font></td>
								</tr>
								<tr>
									<td bgcolor="#131313"><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Characters site is associated with:</b><br>
										</font><font size="2" face="Verdana,Helvetica,Arial">(check all that apply)</font></td>
									<td bgcolor="#131313"><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>
										<table border="0" cellpadding="5" cellspacing="0">
											<tr>
												<td valign="top"><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Angel" name="web_character[]"> Angel<br>
													<input type="checkbox" value="Angelus" name="web_character[]"> Angelus<br>
													<input type="checkbox" value="Anya" name="web_character[]"> Anya<br>
													<input type="checkbox" value="Buffy" name="web_character[]"> Buffy<br>
													<input type="checkbox" value="Conner" name="web_character[]"> Conner<br>
													<input type="checkbox" value="Cordelia" name="web_character[]"> Cordelia<br>
													<input type="checkbox" value="Darla" name="web_character[]"> Darla<br>
													<input type="checkbox" value="Dawn" name="web_character[]"> Dawn<br>
													<input type="checkbox" value="Doyle" name="web_character[]"> Doyle<br>
													<input type="checkbox" value="Drusilla" name="web_character[]"> Drusilla<br>
													</font></td>
												<td valign="top"><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Ethan" name="web_character[]"> Ethan<br>
													<input type="checkbox" value="Faith" name="web_character[]"> Faith<br>
													<input type="checkbox" value="Fred" name="web_character[]"> Fred<br>
													<input type="checkbox" value="Giles" name="web_character[]"> Giles<br>
													<input type="checkbox" value="Gunn" name="web_character[]"> Gunn<br>
													<input type="checkbox" value="Jenny Calendar" name="web_character[]"> Jenny Calendar<br>
													<input type="checkbox" value="Joyce Summers" name="web_character[]"> Joyce Summers<br>
													<input type="checkbox" value="Kendra" name="web_character[]"> Kendra<br>
													<input type="checkbox" value="Lilah" name="web_character[]"> Lilah</font><br>
												</td>
												<td valign="top"><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Lindsey" name="web_character[]"> Lindsey</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Lorne" name="web_character[]"> Lorne (The Host)</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Oz" name="web_character[]"> Oz</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Riley" name="web_character[]"> Riley</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Spike" name="web_character[]"> Spike</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Tara" name="web_character[]"> Tara</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Wesley" name="web_character[]"> Wesley</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Willow" name="web_character[]"> Willow</font><br>
													<font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Xander" name="web_character[]"> Xander</font></td>
											</tr>
										</table>
										</b></font></td>
								</tr>
								<tr>
									<td bgcolor="#131313"><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>Content:</b><br>
										</font><font size="2" face="Verdana,Helvetica,Arial">(check <b>ONLY THOSE</b> that apply)</font></td>
									<td bgcolor="#131313"><font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b>
										<table border="0" cellpadding="1" cellspacing="0">
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Art" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Art</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Keepers" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Keepers</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Sound_Clips" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Sound Clips</font></td>
											</tr>
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Episode_Reviews" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Episode Reviews</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Links" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Links</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Spoilers" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Spoilers</font></td>
											</tr>
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Episode_Summaries" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Episode Summaries</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="News" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">News</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Transcripts" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Transcripts</font></td>
											</tr>
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Fan_Club" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Fan Club</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Photos" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Photos</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Video" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Video</font></td>
											</tr>
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Fan_Fiction" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Fan Fiction</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Posting_Board" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Posting Board</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Wallpaper" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Wallpaper</font></td>
											</tr>
											<tr>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Games" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Games</font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2"><input type="checkbox" value="Screen_Captures" name="web_content[]"></font></td>
												<td><font face="Verdana,Helvetica,Arial" size="2">Screen Captures</font></td>
												<td></td>
												<td></td>
											</tr>
										</table>
										</b></font></td>
								</tr>
								<tr>
									<td colspan="2">
										<center>
											<font face="Verdana,Helvetica,Arial" size="2" color="#ffffcc"><b><input type="submit" name="submitButtonName" value="Become a Citizen and Add this Fan Site"></b></font></center>
									</td>
								</tr>
							</table>
						</center>
					</td>
				</tr>
			</table>
			</font></p>
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