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document.write('<table border=0 width=150 bgcolor=#c3dbb0 cellspacing=0 cellpadding=2>');
document.write('<tr><td colspan=2><font face="Arial" size=-1 color="#005500"><b>Would you consider, as a stakeholder, giving up one day a month to help in an office?</b></td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=1></td><td><font face="Arial" size=-1 color="#005500">Yes, I would love to assist GHNNC.</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=2></td><td><font face="Arial" size=-1 color="#005500">No, I don\'t have an hour to spare.</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=3></td><td><font face="Arial" size=-1 color="#005500">GHNNC has an office???</td></tr>');
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document.write('<input type=hidden name=username value="adghnnc">');
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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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