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document.write('<tr><td colspan=2><font face="Arial" size=-1 color="#000000"><b>What is Your Favorite Breed of Dog?</b></td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=1></td><td><font face="Arial" size=-1 color="#000000">Labrador Retriever</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=2></td><td><font face="Arial" size=-1 color="#000000">Golden Retriever</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=3></td><td><font face="Arial" size=-1 color="#000000">Terrier</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=4></td><td><font face="Arial" size=-1 color="#000000">German Shepard</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=5></td><td><font face="Arial" size=-1 color="#000000">Beagle</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=6></td><td><font face="Arial" size=-1 color="#000000">Daschund</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=7></td><td><font face="Arial" size=-1 color="#000000">Boxer</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=8></td><td><font face="Arial" size=-1 color="#000000">Poodle</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=9></td><td><font face="Arial" size=-1 color="#000000">Shih Tzu</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=10></td><td><font face="Arial" size=-1 color="#000000">Other</td></tr>');
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document.write('<input type=hidden name=username value="WHABBA">');
document.write('<input type=hidden name=poll value="1174422027">');
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document.write('<input type=hidden name=bars value="Assorted">');
document.write('<center><input type=submit value=Vote>');document.write('&nbsp;&nbsp;<input type=submit name=view value=View>');
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document.write('</td></tr>');
document.write('<tr><td bgcolor=#FFFFFF colspan=2 align=right><font face="Arial" size=-2 color="#000000"><a href=http://www.pollhost.com/><font color=#000099>Free polls from Pollhost.com</font></a></td></tr>');
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