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<form name="JoinML1Form" method="post" action="http://www.freeml.com/ctrl/">
<input type="hidden" name="handler-type" value="html">
<input type="hidden" name="form-type" value="KitExecForm">
<input type="hidden" name="local_part" value="megunan">
<input type="hidden" name="domain" value="freeml.com">
<TABLE border="0" cellPadding="0" cellSpacing="0" width="300">
<TR>
<TD align="center" bgColor="#333366" colSpan="2" height="20">
<TABLE border="0" cellPadding="0" cellSpacing="0" width="100%">
<TR bgColor="#6666ff">
<TD align="center" height="20">
ピザーラ目黒南店 に入ろう!
</TD>
</TR>
</TABLE>
</TD>
</TR>
<TR bgColor="#ccccff">
<TD height="36" width="120">
<IMG alt=FreeML border="0" src="http://www.freeml.com/images/freeml_logo_medium_a.gif">
</TD>
<TD height="36" width="180">
メールアドレス
<INPUT name="email" type="text" size="16">
<INPUT type="submit" name="sub" value="参加">
</TD>
</TR>
</TABLE>
</form>
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