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document.write('<tr><td colspan=2><font face="Arial" size=-1 color="#000000"><b>To get in the Club I would pay</b></td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=1></td><td><font face="Arial" size=-1 color="#000000">$10-$20</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=2></td><td><font face="Arial" size=-1 color="#000000">$20-$30</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=3></td><td><font face="Arial" size=-1 color="#000000">$30-$40</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=4></td><td><font face="Arial" size=-1 color="#000000">$40-$50</td></tr>');
document.write('<tr><td width=5><input type=radio name=answer value=5></td><td><font face="Arial" size=-1 color="#000000">$50-$100</td></tr>');
document.write('<tr><td colspan=2>');
document.write('<input type=hidden name=username value="kingkarl">');
document.write('<input type=hidden name=poll value="1176175977">');
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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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