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document.write('<tr><td colspan=2><font face="Comic Sans MS" size=-1 color="#880000"><b>Fellas, what would you like to see in a male survivor pack?</b></td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=1></td><td><font face="Comic Sans MS" size=-1 color="#880000">Axe Deodorant Spray</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=2></td><td><font face="Comic Sans MS" size=-1 color="#880000">Sunblock</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=3></td><td><font face="Comic Sans MS" size=-1 color="#880000">Condoms</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=4></td><td><font face="Comic Sans MS" size=-1 color="#880000">Deodorant</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=5></td><td><font face="Comic Sans MS" size=-1 color="#880000">Hangover Remedy Pill</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=6></td><td><font face="Comic Sans MS" size=-1 color="#880000">Tylenol Extra Strength</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=7></td><td><font face="Comic Sans MS" size=-1 color="#880000">Mouthwash</td></tr>');
document.write('<tr><td width=5><input type=checkbox name=answer value=8></td><td><font face="Comic Sans MS" size=-1 color="#880000">Hand Sanitizer Wipes</td></tr>');
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document.write('<input type=hidden name=username value="mimi007">');
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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>');
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