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Membership Application

From Dunham-Singletary Family Connections
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m (Protected "Membership Application" (‎[edit=sysop] (indefinite) ‎[move=sysop] (indefinite)))
Line 40: Line 40:
 
  '''Website:''' <emailform name /> <emailform website/><br />
 
  '''Website:''' <emailform name /> <emailform website/><br />
 
  |}
 
  |}
 +
 +
<html>
 +
 +
<form target="paypal" action="https://www.paypal.com/cgi-bin/webscr"
 +
 +
method="post">
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<input type="hidden" name="cmd" value="_s-xclick">
 +
<input type="hidden" name="hosted_button_id" value="W3D6A9HPVGPFL">
 +
<input type="image"
 +
 +
src="https://www.paypalobjects.com/en_US/i/btn/btn_cart_LG.gif"
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 +
border="0" name="submit" alt="PayPal - The safer, easier way to pay
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 +
online!">
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<img alt="" border="0"
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 +
src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1"
 +
 +
height="1">
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</form>
 +
 +
</html>
 +
 
  </emailform>
 
  </emailform>

Revision as of 22:01, 23 August 2012


Full Name:
Street Address:
City:
State:
Zip/Postal Code:
Country:
Email:
Website: (optional)
Comments:


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